FORM 1023-EZ for TRANSFORM A STREET DOG
| Field | Data |
|---|---|
| EIN | 83-4626445 |
| Case Number | EO-2020283-000239 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | TRANSFORM A STREET DOG |
| Organization’s Mailing Address | 1303 CRESPI DR |
| City | PACIFICA |
| State | CA |
| ZIP | 94044 |
| Accounting period End | 12 |
| Primary contact name | AMANDA M ALLEN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
AMANDA ALLEN
PRESIDENT AND CHAIRMAN
1303 CRESPI DR
PACIFICA CA 94044-3605
Officer/Director/Trustee Two
YEVHENIIA DZITSIUK
VICE PRESIDENT AND VICE CHAIRMAN
15057 DEWEY STREET
SAN LEANDRO CA 94579-1605
Officer/Director/Trustee Three
SINDU MANICKKAVALLI
TREASURER AND DIRECTOR
43187 GRIMMER TERRACE
FREMONT CA 94538-6634
Officer/Director/Trustee Four
ESBEIDY GUTIERREZ
SECRETARY AND DIRECTOR
734 N VINE ST
ANAHEIM CA 92805-2024
| Organization’s website | TRANSFORMASTREETDOG.ORG |
|---|---|
| Organization’s email | TFASDOG@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/19/2019 |
| 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: Yes 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 | 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 | AMANDA ALLEN |
| Signature Title | FOUNDER AND PRESIDENT |
| Signature Date | 10/7/2020 |
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