FORM 1023-EZ for FREE ANIMAL DOCTOR INC

Field Data
EIN 47-2210687
Case Number EO-2015306-000526
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FREE ANIMAL DOCTOR INC
Organization’s Mailing Address 70 E MONTECITO AVE
City SIERRA MADRE
State CA
ZIP 91024
Accounting period End 12
Primary contact name SAMUEL BERNARDO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SAMUEL BERNARDO
PRESIDENT
70 E MONTECITO AVE
SIERRA MADRE CA 91024

Officer/Director/Trustee Two

RYAN BOYD
TREASURER
4847 DEL MONTES ROAD
LA CANADA CA 91011

Officer/Director/Trustee Three

SANDY DUVALL
DIRECTOR
31 E MONTECITO AVE
SIERRA MADRE CA 91024

Organization’s website WWW.FREEANIMALDOCTOR.ORG
Organization’s email SAM@LAWOFFICEOFSAMBERNARDO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/2014
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 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
Signature Title
Signature Date

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