FORM 1023-EZ for BETRAYED AND IN NEED ANIMAL RESCUEINC

Field Data
EIN 46-4872789
Case Number EO-2018260-000394
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BETRAYED AND IN NEED ANIMAL RESCUEINC
Organization’s Mailing Address 7765 PEARBLOSSOM HWY UNIT 637
City LITTLEROCK
State CA
ZIP 93543
Accounting period End 12
Primary contact name JILLIAN EDWARDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JILLIAN EDWARDS
PRESIDENT
13314 EAST AVE W4
PEARBLOSSOM CA 93553

Officer/Director/Trustee Two

LORIE ABLES
SECRETARY
4212 EAST AVE Q12
PALMDALE CA 93552

Officer/Director/Trustee Three

W MICHAEL HARTMAN
TREASURER
5633 TOPANGA CYN BLVD 206
WOODLAND HILLS CA 91367

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/19/13
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JILLIAN EDWARDS
Signature Title PRESIDENT
Signature Date 9/13/18
EIN 46-4872789
Case Number EO-2018260-000394
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BETRAYED AND IN NEED ANIMAL RESCUE INC
Organization’s Mailing Address 7765 PEARBLOSSOM HWY UNIT 637
City LITTLEROCK
State CA
ZIP 93543
Accounting period End 12
Primary contact name JILLIAN EDWARDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JILLIAN EDWARDS
PRESIDENT
13314 EAST AVE W4
PEARBLOSSOM CA 93553

Officer/Director/Trustee Two

LORIE ABLES
SECRETARY
4212 EAST AVE Q12
PALMDALE CA 93552

Officer/Director/Trustee Three

W MICHAEL HARTMAN
TREASURER
5633 TOPANGA CYN BLVD 206
WOODLAND HILLS CA 91367

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/19/13
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JILLIAN EDWARDS
Signature Title PRESIDENT
Signature Date 9/13/18
EIN 46-4872789
Case Number EO-2014239-000209
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BETRAYED AND IN NEED ANIMAL RESCUEINC
Organization’s Mailing Address 13314 EAST AVE W4
City PEARBLOSSOM
State CA
ZIP 93553
Accounting period End 12
Primary contact name JILLIAN EDWARDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JILLIAN EDWARDS
PRESIDENT
13314 EAST AVE W4
PEARBLOSSOM CA 93553

Officer/Director/Trustee Two

W MICHAEL HARTMAN
TREASURER
21907 SAN MIGUEL STREET
WOODLAND HILLS CA 91364

Officer/Director/Trustee Three

LORIE ABLES
SECRETARY
4212 EAST AVE Q-12
PALMDALE CA 93552

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/19/2013
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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