FORM 1023-EZ for BAJA CANTU ANIMAL RESCUE GROUP INC

Field Data
EIN 83-2527221
Case Number EO-2018340-000285
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BAJA CANTU ANIMAL RESCUE GROUP INC
Organization’s Mailing Address 6240 BUCKINGHAM CIRCLE
City CUMMING
State GA
ZIP 30040
Accounting period End 12
Primary contact name DATA GOLDSBERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DATA GOLDSBERRY
EXECUTIVE DIRECTOR
10167 RANCH ROAD
AUBURN CA 95602

Officer/Director/Trustee Two

LINDA MINER
SECRETARY
6240 BUCKINGHAM CIRCLE
CUMMING GA 30040

Officer/Director/Trustee Three

DATA GOLDSBERRY
TREASURER
10167 RANCH ROAD
AUBURN CA 95602

Officer/Director/Trustee Four

LINDA MINER
ADMINISTRATOR
6240 BUCKINGHAM CIRCLE
CUMMING GA 30040

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/9/18
Organization Incorporation State GA
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 Yes
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 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 LINDA MINER
Signature Title ADMINISTRATOR
Signature Date 12/3/18

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