FORM 1023-EZ for LITTLE LIZZYS FRIENDS PET RESCUE

Field Data
EIN 83-1051157
Case Number EO-2018183-000410
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LITTLE LIZZYS FRIENDS PET RESCUE
Organization’s Mailing Address 8960 BEECH AVENUE
City FONTANA
State CA
ZIP 92335
Accounting period End 12
Primary contact name JUAN GUZMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JERI L BOHLMAN
CEO
8960 BEECH AVENUE
FONTANA CA 92335

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/18
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: No
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 JERI L BOHLMAN
Signature Title CEO
Signature Date 6/29/18

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