FORM 1023-EZ for GUARDIAN ANGEL PET RESCUE INC

Field Data
EIN 81-1936868
Case Number EO-2016152-000285
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GUARDIAN ANGEL PET RESCUE INC
Organization’s Mailing Address 217 LORETTA WAY
City CALIMESA
State CA
ZIP 92320
Accounting period End 12
Primary contact name KIM BASAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KIM BASAK
PRESIDENT
217 LORETTA WAY
CALIMESA CA 92320

Officer/Director/Trustee Two

PAWAL BASAK
VICE PRESIDENT
217 LORETTA WAY
CALIMESA CA 92320

Officer/Director/Trustee Three

AMANDA HANSON
TREASURER
11763 ADAMS ST
YUCAIPA CA 92399

Officer/Director/Trustee Four

MIRAYA WOODS
SECRETARY
1601 BARTON RD APT 3201
REDLANDS CA 92373

Organization’s website GUARDIANANGELPETS.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/2016
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 Yes
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
Signature Title
Signature Date

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