FORM 1023-EZ for SANTA BARBARA VIZSLA LOVERS RESCUE

Field Data
EIN 81-3560708
Case Number EO-2016279-000176
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SANTA BARBARA VIZSLA LOVERS RESCUE
Organization’s Mailing Address 1038 VIA BOLZANO
City GOLETA
State CA
ZIP 93117
Accounting period End 12
Primary contact name MIMI APPLEGATE ELDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIMI ELDER
DIRECTOR
1038 VIA BOLZANO
GOLETA CA 93117

Officer/Director/Trustee Two

LAWRENCE VAZQUEZ
DIRECTOR
7833 DAY DRIVE
GOLETA CA 93117

Officer/Director/Trustee Three

LEE HIESTAND
DIRECTOR
1972 LAS CANOAS ROAD
SANTA BARBARA CA 93105

Officer/Director/Trustee Four

CHRISTINE OLIVER
DIRECTOR
400 HILLCREST ROAD
SANTA BARARA CA 93103

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2016
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: 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 No
One Third Support Gifts Yes
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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