FORM 1023-EZ for LITTLE DIVA RESCUE INC

Field Data
EIN 83-0636834
Case Number EO-2019029-000282
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LITTLE DIVA RESCUE INC
Organization’s Mailing Address 25604 HOUSMAN PLACE
City STEVENSON RANCH
State CA
ZIP 91381
Accounting period End 12
Primary contact name JULIE HILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULIE HILL
PRESIDENT/DIRECTOR
25604 HOUSMAN PLACE
STEVENSON RANCH CA 91381

Officer/Director/Trustee Two

SCOTT HILL
TREASURER/ TREASURER
25604 HOUSMAN PLACE
STEVENSON RANCH CA 91381

Officer/Director/Trustee Three

DIANE FITZSIMMONS
SECRETARY/SECRETARY
10244 ARROW ROUTE APT 1
RANCHO CUCAMONGA CA 91730

Officer/Director/Trustee Four

ZACHARY HILL
OFFICER
44750 FERN AVE
LANCASTER CA 93534

Officer/Director/Trustee Five

TIFFANY FERNANDEZ
OFFICER
44750 FERN AVE
LANCASTER CA 93534

Organization’s website LITTLEDIVARESCUE.ORG
Organization’s email JULIE@LITTLEDIVARESCUE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JULIE HILL
Signature Title PRESIDENT/DIRECTOR
Signature Date 12/17/18

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