FORM 1023-EZ for BRUISED BUT NOT BROKEN

Field Data
EIN 35-2536567
Case Number EO-2016216-000060
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BRUISED BUT NOT BROKEN
Organization’s Mailing Address 572 OJAI ST
City FILLMORE
State CA
ZIP 93015
Accounting period End 2
Primary contact name CHRIS GANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRIS GANT
OWNER
572 OJAI ST
FILLMORE CA 93015

Officer/Director/Trustee Two

NICOLE GANT
ADMINISTRATION
572 OJAI ST
FILLMORE CA 93015

Officer/Director/Trustee Three

AMANDA BROWN
LEAD TRAINER
13425 DYER ST
SYLMAR CA 91342

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2015
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D61 - Animal Training, Behavior
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 Yes
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 Yes
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
Signature Title
Signature Date

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