FORM 1023-EZ for GIDDY UP TIME

Field Data
EIN 83-0802445
Case Number EO-2018179-000224
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GIDDY UP TIME
Organization’s Mailing Address 4131 MOUNT PUTMAN AVE
City SAN DIEGO
State CA
ZIP 92117
Accounting period End 12
Primary contact name REBEKAH JARZOMBEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REBEKAH JARZOMBEK
DIRECTOR AND PRESIDENT
4131 MOUNT PUTMAN AVE
SAN DIEGO CA 92117

Officer/Director/Trustee Two

SARAH YOUNG
TREASURER
4131 MOUNT PUTMAN AVE
SAN DIEGO CA 92117

Officer/Director/Trustee Three

DONNA REINO
SECRETARY
4131 MOUNT PUTMAN AVE
SAN DIEGO CA 92117

Officer/Director/Trustee Four

ROBIN MARTINEZ
DIRECTOR
3603 PICO RD
VISTA CA 92084

Officer/Director/Trustee Five

MORGAN DARNELL
DIRECTOR
2525 NORTHSIDE DRIVE APT 322
SAN DIEGO CA 92108

Organization’s website
Organization’s email DOCTORBEKDC@GMAIL.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 E50 - Rehabilitative Medical Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 REBEKAH JARZOMBEK
Signature Title DIRECTOR AND PRESIDENT
Signature Date 6/26/18

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