FORM 1023-EZ for SOUTH BAY DOG RESCUE

Field Data
EIN 47-2020216
Case Number EO-2014297-000527
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTH BAY DOG RESCUE
Organization’s Mailing Address 303 AVERIL RD
City SAN YSIDRO
State CA
ZIP 92173-2349
Accounting period End 12
Primary contact name M LINA LABORDE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

M LINA LABORDE
DIRECTOR AND PRESIDENT/CEO
1305 HOLLISTER ST SPC 22A
SAN DIEGO CA 92154-3196

Officer/Director/Trustee Two

CHARLEEN LAVALLE NORRIS
DIRECTOR
1719 ADAMS AVE
SAN DIEGO CA 92116-1204

Officer/Director/Trustee Three

SALVADOR BARAJAS
DIRECTOR
1305 HOLLISTER ST SP10
SAN DIEGO CA 92154-3196

Officer/Director/Trustee Four

FEDERICO BUCH
TREASURER
790 PALOMAR ST STE D
CHULA VISTA CA 91911-2608

Officer/Director/Trustee Five

ROXANA SANDOVAL
SECRETARY
115 W HALL AVE APT 4
SAN YSIDRO CA 92173-2569

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/21/2014
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 Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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