FORM 1023-EZ for CAROLINA CANINES ATHLETIC CLUB

Field Data
EIN 37-1844983
Case Number EO-2017116-000141
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAROLINA CANINES ATHLETIC CLUB
Organization’s Mailing Address 368 PINE LOG ROAD
City BEECH ISLAND
State SC
ZIP 29842
Accounting period End 12
Primary contact name PATRICK GREEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENDRA GREEN
COO
368 PINE LOG ROAD
BEECH ISLAND SC 29842

Officer/Director/Trustee Two

CASSANDRA ELAM
PLANS DIRECTOR
850 FAIRVIEW AVE
NORTH AUGUSTA SC 29841

Organization’s website
Organization’s email CAROLINACANINES@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/2015
Organization Incorporation State SC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
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 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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