FORM 1023-EZ for ROCKINGHAM K9 INCORPORATED

Field Data
EIN 45-5511907
Case Number EO-2016251-000437
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROCKINGHAM K9 INCORPORATED
Organization’s Mailing Address 31 ASHWOOD AVE
City SALEM
State NH
ZIP 03079
Accounting period End 12
Primary contact name JEFF PAYNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFF PAYNE
PRESIDENT
31 ASHWOOD AVE
SALEM NH 03079

Officer/Director/Trustee Two

MEAGHAN GEOFFRIAN
VICE PRESIDENT
22 GREENMEADOW LANE
BEFORD NH 03110

Officer/Director/Trustee Three

ELIZABETH DUCLOS
TREASURER
20 APPLEDOR ROAD
BEDFORD NH 03110

Officer/Director/Trustee Four

BRIAN ALLAIN
SECRETARY
166 NEW BOSTON ROAD
BEDFORD NH 03110

Officer/Director/Trustee Five

JASON SEARS
ALTERNATE BOARD MEMBER
71 CALEB DRIVE
DANVILLE NH 03819

Organization’s website WWW.ROCKINGHAMK9.ORG
Organization’s email INFO@ROCKINGHAMK9.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2014
Organization Incorporation State NH
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: 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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