FORM 1023-EZ for TC DOG SIT IN

Field Data
EIN 47-1672774
Case Number EO-2014240-000515
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TC DOG SIT IN
Organization’s Mailing Address 9822 WINDSONG DRIVE
City EMPIRE
State MI
ZIP 49630
Accounting period End 4
Primary contact name SMUEL G JONES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENNIFER LOUP
CO-DIRECTOR
6867 CENTER RD
TRAVERSE CITY MI 49686

Officer/Director/Trustee Two

SAMUEL JONES
DIRECTOR
9822 WINDSONG DR
EMPIRE MI 49630

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/25/2014
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D12 - Fund Raising and/or Fund Distribution
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 Yes
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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