FORM 1023-EZ for BELLY RUB N GRUB

Field Data
EIN 84-2323007
Case Number EO-2019259-000999
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BELLY RUB N GRUB
Organization’s Mailing Address 43927 REMBRANDT STREET
City LANCASTER
State CA
ZIP 93535
Accounting period End 7
Primary contact name ILANA BUSBY OR JEANINE BUSBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ILANA BUSBY
CHIEF EXECUTIVE OFFICER/FOUNDER
43927 REMBRANDT STREET
LANCASTER CA 93535

Officer/Director/Trustee Two

JEANINE BUSBY
SECRETARY
43927 REMBRANDT STREET
LANCASTER CA 93535

Officer/Director/Trustee Three

ISABEL MAS-SMITH
CHIEF FINANCIAL OFFICER
18504 UNIT C NAYAL STREET
NORTHRIDGE CA 91324

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/19
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: 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 Yes
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 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 ILANA BUSBY
Signature Title CHIEF EXECUTIVE OFFICER/FOUNDER
Signature Date 9/13/19

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