FORM 1023-EZ for ELEBALANCE

Field Data
EIN 84-2794462
Case Number EO-2019259-001060
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELEBALANCE
Organization’s Mailing Address 2375 E CALLE LOS ALTOS
City TUCSON
State AZ
ZIP 85718
Accounting period End 12
Primary contact name SORAYA ROHDE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SORAYA ROHDE
PRESIDENT/DIRECTOR
2375 E CALLE LOS ALTOS
TUCSON AZ 85718

Officer/Director/Trustee Two

KIM WILKISSON
VICE PRESIDENT/DIRECTOR
1 GREGORY DRIVE
MONTVILLE NJ 7045

Officer/Director/Trustee Three

CRISTINE FOUTS
SECRETARY
121 MAYS COVE ROAD
EAST PALATKA FL 32131

Officer/Director/Trustee Four

AMBER KAZANSKY
TREASURER
2375 E CALLE LOS ALTOS
TUCSON AZ 85718

Officer/Director/Trustee Five

SHEHAN JAMES
DIRECTOR
13724 HARVARD PL
GARDENA CA 90249

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/19
Organization Incorporation State AZ
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: No
Religious: No
Educational: Yes
Scientific: Yes
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 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 SORAYA ROHDE
Signature Title PRESIDENT/DIRECTOR
Signature Date 9/13/19

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