FORM 1023-EZ for PETS FOR VETS - LOS ANGELES

Field Data
EIN 47-4870171
Case Number EO-2015238-000195
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PETS FOR VETS - LOS ANGELES
Organization’s Mailing Address 325 MONTEREY BLVD APT B
City HERMOSA BEACH
State CA
ZIP 90254
Accounting period End 12
Primary contact name TRAVIS ROWLAND BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TRAVIS BROWN
CEO
325 MONTEREY BLVD APT B
HERMOSA BEACH CA 90254

Officer/Director/Trustee Two

YUKI SUMITOMO
SECRETARY
325 MONTEREY BLVD APT B
HERMOSA BEACH CA 90254

Officer/Director/Trustee Three

DAVID BIESEK
CFO
100 N BONNIER AVENUE
PASADENA CA 91106

Organization’s website HTTP://LOSANGELES-CA.PETS-FOR-VETS.COM/
Organization’s email LOSANGELES-CA@PETS-FOR-VETS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D61 - Animal Training, Behavior
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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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