FORM 1023-EZ for BELLAS HOUSE ANIMAL RESCUE

Field Data
EIN 46-5601028
Case Number EO-2018047-000114
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BELLAS HOUSE ANIMAL RESCUE
Organization’s Mailing Address 1147 N WOOD STREET
City GRIFFITH
State IN
ZIP 46319
Accounting period End 12
Primary contact name DEBORAH GIZYNSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBORAH GIZYNSKI
PRESIDENT
1147 N WOOD STREET
GRIFFITH IN 46319

Officer/Director/Trustee Two

ODIE MITCHELL
TREASURER
1147 N WOOD STREET
GRIFFITH IN 46319

Officer/Director/Trustee Three

ELIZABETH BASSO
SECRETARY
1147 N WOOD STREET
GRIFFITH IN 46319

Organization’s website
Organization’s email MYBELLASHOUSE1147@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/7/14
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D99 - Animal-Related N.E.C.
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 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 Yes
Correctness Declaration Yes
Signature Name DEBORAH GIZYNSKI
Signature Title PRESIDENT
Signature Date 2/14/18

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