FORM 1023-EZ for MOHAWK ALLEY ANIMAL FOUNDATION INC

Field Data
EIN 81-3716546
Case Number EO-2019259-000341
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOHAWK ALLEY ANIMAL FOUNDATION INC
Organization’s Mailing Address 2162 W SUNSET BLVD
City LOS ANGELES
State CA
ZIP 90026-3148
Accounting period End 12
Primary contact name DIANE TANG TRINH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE ZORYAN
CHIEF EXECUTIVE OFFICER
1329 ANGELUS AVE
LOS ANGELES CA 90026

Officer/Director/Trustee Two

DIANE TANG TRINH
CHIEF FINANCIAL OFFICER
3406 LARGA AVE
LOS ANGELES CA 90039

Officer/Director/Trustee Three

CARRISSA MORIN
SECRETARY
628 E ELK AVE APT 106
GLENDALE CA 91205

Organization’s website HTTP://MOHAWKALLEYANIMALHOSPITAL.COM/FOUNDATION/
Organization’s email INFO@MOHAWKALLEY.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/16/16
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D40 - Veterinary 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 No
Donation of funds No
Conducting Activities Outside of United States Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CARRISSA MORIN
Signature Title SECRETARY
Signature Date 9/10/19
EIN 81-3716546
Case Number EO-2017230-000242
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOHAWK ALLEY ANIMAL FOUNDATION
Organization’s Mailing Address 2162 W SUNSET BLVD
City LOS ANGELES
State CA
ZIP 90026-7458
Accounting period End 12
Primary contact name DIANE TANG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIANE TANG
PRESIDENT/TREASURER
3406 LARGA AVE
LOS ANGELES CA 90039-1924

Officer/Director/Trustee Two

MICHELLE ZORYAN
VICE PRESIDENT
705 W 9TH ST APT 26-06
LOS ANGELES CA 90015-1993

Officer/Director/Trustee Three

CARRISSA MORIN
SECRETARY
628 E ELK AVE APT 106
GLENDALE CA 91205-1708

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/16/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D40 - Veterinary Services
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 Yes
Financial transactions with officers Yes
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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