FORM 1023-EZ for BORDERLESS ANIMAL SANCTUARY FOUNDATION

Field Data
EIN 83-0634617
Case Number EO-2018171-000590
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BORDERLESS ANIMAL SANCTUARY FOUNDATION
Organization’s Mailing Address 21438 KRZICH PL
City CUPERTINO
State CA
ZIP 95014
Accounting period End 12
Primary contact name XIAOYI LIU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

XIAOYI LIU
PRESIDENT, DIRECTOR
21438 KRZICH PL
CUPERTINO CA 95014

Officer/Director/Trustee Two

JIAHUI SHEN
SECRETARY, DIRECTOR
3312 NE 123RD ST
SEATTLE WA 98125

Officer/Director/Trustee Three

JANE SHAW
TREASURER, DIRECTOR
4064 EVERGREEN ST
BELLAIRE TX 77401

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/18
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D60 - Other Services - Specialty Animals
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 No
Donation of funds No
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 XIAOYI LIU
Signature Title PRESIDENT, DIRECTOR
Signature Date 6/18/18

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