FORM 1023-EZ for BLIND DOG NOAHS LEGACY INC

Field Data
EIN 83-2382883
Case Number EO-2019029-000375
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLIND DOG NOAHS LEGACY INC
Organization’s Mailing Address 206 SHAKERAG STREET
City MINERAL POINT
State WI
ZIP 53565
Accounting period End 12
Primary contact name LISA EDGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA EDGE
PRESIDENT
206 SHAKERAG STREET
MINERAL POINT WI 53565

Officer/Director/Trustee Two

ANGELA STRYCK
OFFICER
5107 CATON LANE
WAUNAKEE WI 53597

Officer/Director/Trustee Three

VICKI DELL
OFFICER
2811 W WALDEN WAY
ANTHEM AZ 85086

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/18
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O01 - Alliance/Advocacy Organizations
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 Yes
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 LISA EDGE
Signature Title PRESIDENT
Signature Date 12/17/18

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