FORM 1023-EZ for BELLY RUBS RESCUE

Field Data
EIN 81-4855833
Case Number EO-2017017-000661
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BELLY RUBS RESCUE
Organization’s Mailing Address 2704 ANACAPA
City IRVINE
State CA
ZIP 92602-2327
Accounting period End 12
Primary contact name JANIS LUCIAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUMMER DELPHINE
PRESIDENT
2913 EL CAMINO REAL - NO 139
TUSTIN CA 92782-8909

Officer/Director/Trustee Two

JANIS LUCIAN
VICE PRESIDENT AND TREASURER
2704 ANACAPA
IRVINE CA 92602-2327

Officer/Director/Trustee Three

JULIANNE STRAND
SECRETARY
2913 EL CAMINO REAL - NO 139
TUSTIN CA 92782-8909

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/2016
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 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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