FORM 1023-EZ for LOS ANGELES WORKING K9 CLUB

Field Data
EIN 84-3244178
Case Number EO-2020260-000092
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOS ANGELES WORKING K9 CLUB
Organization’s Mailing Address 24551 RAYMOND WAY UNIT 155
City LAKE FOREST
State CA
ZIP 92630
Accounting period End 12
Primary contact name MARIO ERAZO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARIO ERAZO
PRESIDENT
20612 E COVINA HILLS RD
COVINA CA 91724

Officer/Director/Trustee Two

DENISE SCELSI
VP/CFO/SECRETARY
24845 LAGUNA VISTA
LAGUNA NIGUEL CA 92677

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/2019
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DENISE SCELSI
Signature Title VP/CFO/SECRETARY
Signature Date 9/12/2020

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