FORM 1023-EZ for TLC MUTT RESCUE

Field Data
EIN 81-1217773
Case Number EO-2016147-000226
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TLC MUTT RESCUE
Organization’s Mailing Address 1812 LAS BRISAS DR
City SANTA ANA
State CA
ZIP 92705-3126
Accounting period End 12
Primary contact name TINA CATLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TINA CATLIN
DIRECTOR/PRESIDENT
1812 LAS BRISAS DR
SANTA ANA CA 92705-3126

Officer/Director/Trustee Two

LIRAZ MALUL
DIRECTOR/TREASURER
25446 BIRCHTREE DR
MURRIETA CA 92563-5316

Officer/Director/Trustee Three

STACIE DASINGER
DIRECTOR/SECRETARY
1009 HIGHLAND PARK
FALLBROOK CA 92028-5421

Officer/Director/Trustee Four

AMANDA CATLIN
VICE-PRESIDENT
1812 LAS BRISAS DR
SANTA ANA CA 92705-3126

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/22/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D12 - Fund Raising and/or Fund Distribution
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 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
Signature Title
Signature Date

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