FORM 1023-EZ for CONCERNED CITIZENS ANIMAL RESCUE INC
| Field | Data |
|---|---|
| EIN | 84-4586340 |
| Case Number | EO-2020055-000695 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | CONCERNED CITIZENS ANIMAL RESCUE INC |
| Organization’s Mailing Address | 6657 MATILIJA AVE |
| City | VAN NUYS |
| State | CA |
| ZIP | 91405 |
| Accounting period End | 12 |
| Primary contact name | ELIZABETH REGENSBURGER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ELIZABETH REGENSBURGER
DIRECTOR
6657 MATILIJA AVE
VAN NUYS CA 91405
Officer/Director/Trustee Two
GINA DE MARCO JACOBSON
TREASURER
500 S SEPULVEDA BLVD
LOS ANGELES CA 90049
Officer/Director/Trustee Three
GINGER BAKER
OFFICER
5653 1/2 BAKMAN AVE
LOS ANGELES CA 91601
Officer/Director/Trustee Four
ARAINA OWENS
SECRETARY
15000 BURBANK BLVD APT 201
LOS ANGELES CA 91411
Officer/Director/Trustee Five
SCOTT TRAVIS
OFFICER
8675 FALMOUTH AVE
PLAYA DEL REY CA 90293
| Organization’s website | WWW.CONCERNEDCITIZENSANIMALRESCUE.COM |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/13/2020 |
| 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 | 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 | ELIZABETH REGENSBURGER |
| Signature Title | DIRECTOR |
| Signature Date | 2/21/2020 |
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