FORM 1023-EZ for SHIBA INU FANCIERS OF SOUTHERN CALIFORNIA

Field Data
EIN 47-5235738
Case Number EO-2016092-000253
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHIBA INU FANCIERS OF SOUTHERN CALIFORNIA
Organization’s Mailing Address 6284 E KILLDEE ST
City LONG BEACH
State CA
ZIP 90808
Accounting period End 12
Primary contact name MASAKO YAMAMOTO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LOUISE THIEME
OFFICER
2620 WHEATFIELD CIRCLE
SIMI VALLEY CA 93063

Officer/Director/Trustee Two

LISA SAKASHITA
OFFICER
15508 JANINE CIRCLE
WHITTIER CA 90603

Officer/Director/Trustee Three

NANCY GILLESPIE
OFFICER
XXXX
PALOS VERDES CA 90274

Officer/Director/Trustee Four

SUSANNE OZASA
PRESIDENT
3487 WALKENRIDGE DR
CORONA CA 92881

Officer/Director/Trustee Five

MASAKO YAMAMOTO
SECRETARY
6284 E KILLDEE ST
LONG BEACH CA 90808

Organization’s website
Organization’s email INFO.SFSC@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/21/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 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
Signature Title
Signature Date

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