FORM 1023-EZ for FORT BRAGG K9 FOUNDATION

Field Data
EIN 81-2827684
Case Number EO-2016190-000245
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FORT BRAGG K9 FOUNDATION
Organization’s Mailing Address 321 SOUTH WHIPPLE STREET
City FORT BRAGG
State CA
ZIP 95437
Accounting period End 6
Primary contact name TARA MCGREGOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TARA MCGREGOR
PRESIDENT
321 SOUTH WHIPPLE STREET
FORT BRAGG CA 95437

Officer/Director/Trustee Two

ROGER G NELL III
VICE PRESIDENT
101 NORTH LINCOLN STREET
FORT BRAGG CA 95437

Officer/Director/Trustee Three

MARY THOMPSON
SECRETARY
20101 LYTA WAY
FORT BRAGG CA 95437

Officer/Director/Trustee Four

CARLI WEAVER
TREASURER
32751 SIMPSON LANE
FORT BRAGG CA 95437

Officer/Director/Trustee Five

TANYA KENDL
MEMBER AT LARGE
PO BOX 2408
FORT BRAGG CA 95437

Organization’s website
Organization’s email FORTBRAGGK9FOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M12 - 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: 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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