FORM 1023-EZ for CARING K9S THERAPY DOGS MAUI

Field Data
EIN 82-1555075
Case Number EO-2017138-000484
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARING K9S THERAPY DOGS MAUI
Organization’s Mailing Address 88 B MAHA ROAD
City MAKAWAO
State HI
ZIP 96768
Accounting period End 12
Primary contact name MELODIE ULMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LYNN ALLEN
PRESIDENT/DIRECTOR
88 B MAHA ROAD
MAKAWAO HI 96768

Officer/Director/Trustee Two

LORRAINE EVANS
TREASURER/DIRECTOR
20A AHINA PLACE
MAKAWAO HI 96768

Officer/Director/Trustee Three

GAIL RIENER
SECRETARY/DIRECTOR
88 B MAHA ROAD
MAKAWAO HI 96768

Officer/Director/Trustee Four

GRAHAM RICHMOND
DIRECTOR
88 B MAHA ROAD
MAKAWAO HI 96768

Officer/Director/Trustee Five

SHANNON DOMINQUEZ
DIRECTOR
88 B MAHA ROAD
MAKAWAO HI 96768

Organization’s website WWW.CARINGK9SMAUI.ORG
Organization’s email CARINGK9SMAUI@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/17/2017
Organization Incorporation State HI
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: Yes
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 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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