FORM 1023-EZ for VIZSLA RESCUE OF SOUTHERN CALIFORNIA INC

Field Data
EIN 83-4535883
Case Number EO-2019192-000345
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name VIZSLA RESCUE OF SOUTHERN CALIFORNIA INC
Organization’s Mailing Address 256 W EIGHT ST
City CLAREMONT
State CA
ZIP 91711
Accounting period End 12
Primary contact name JAMIE WALTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMIE WALTON
PRESIDENT
256 W EIGHT ST
CLARMONT CA 91711

Officer/Director/Trustee Two

CAROL KELLER
TREASURER
COSTA MESA ST
COSTA MESA CA 92627

Officer/Director/Trustee Three

KAREN LAKE
DIRECTOR
2044 COLUMBUS WAY
VISTA CA 92081

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/19/19
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: 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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAMIE WALTON
Signature Title PRESIDENT
Signature Date 7/9/19

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