FORM 1023-EZ for SGT ROSCOS K9S TO E9S INC

Field Data
EIN 36-4829744
Case Number EO-2016147-000225
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SGT ROSCOS K9S TO E9S INC
Organization’s Mailing Address 334 JARED DRIVE
City FUQUAY-VARINA
State NC
ZIP 27526
Accounting period End 12
Primary contact name JASON SYRIAC
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JASON M SYRIAC
PRESIDENT
334 JARED DRIVE
FUQUAY-VARINA NC 27526

Officer/Director/Trustee Two

LORIE D MORAN
SECRETARY TREASURER
6235 CROFTON DRIVE
ALPHARETTA GA 30005

Officer/Director/Trustee Three

JOHN R BYRNES
VICE PRESIDENT
145 NAVAHO TRL
WILMINGTON NC 28409

Officer/Director/Trustee Four

CHRIS A WILLIAMSON
BOARD MEMBER
5521 HILLTOP ROAD
FUQUAY VARINA NC 27526

Officer/Director/Trustee Five

TODD M COX
BOARD MEMBER
8905 HUNTSHIRE DRVE
CUMMING GA 30028

Organization’s website
Organization’s email SGTROSCOK9@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/13/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 Yes
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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