FORM 1023-EZ for SHEEPDOG INITIATIVE

Field Data
EIN 83-1269959
Case Number EO-2018257-000331
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHEEPDOG INITIATIVE
Organization’s Mailing Address 400 LESLIE WOOD DR
City CLARKSVILLE
State TN
ZIP 37040
Accounting period End 12
Primary contact name DUSTIN MAXFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DUSTIN MAXFIELD
PRESIDENT
400 LESLIE WOOD DR
CLARKSVILLE TN 37040

Officer/Director/Trustee Two

DIANDRA HILMO
TREASURER
1037 HARDING DR
CLARKSVILLE TN 37042

Officer/Director/Trustee Three

JAMIE MAXFIELD
SECRETARY
423 LESLIE WOOD DR
CLARKSVILE TN 37040

Officer/Director/Trustee Four

RODNEY MAXFIELD
DIRECTOR
3732 CHURCH PLACE AVE
CLARKSVILLE TN 37040

Officer/Director/Trustee Five

KYLE SMITH
DIRECTOR
3697 NADIA DR
CLARKSVILLE TN 37040

Organization’s website N/A
Organization’s email PROTECTTHEFLOCK@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/13/18
Organization Incorporation State TN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 No
Correctness Declaration Yes
Signature Name DUSTIN MAXFIELD
Signature Title PRESIDENT
Signature Date 9/12/18

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