FORM 1023-EZ for ROCKY MOUNTAIN THERAPY DOGS INC

Field Data
EIN 84-1865473
Case Number EO-2019148-000326
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROCKY MOUNTAIN THERAPY DOGS INC
Organization’s Mailing Address 1186 N COTTAGE WAY
City MIDWAY
State UT
ZIP 84049
Accounting period End 12
Primary contact name AMY FRANCIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMY FRANCIS
PRESIDENT
1186 N COTTAGE WAY
MIDWAY UT 84049

Officer/Director/Trustee Two

EVAN FRANCIS
TREASURER
1186 N COTTAGE WAY
MIDWAY UT 84049

Officer/Director/Trustee Three

CATHY HUNTLEY
SECRETARY
2612 ORANGE SE
GRAND RAPIDS MI 49546

Officer/Director/Trustee Four

STSEVE HUNTLEY
DIRECTOR
2612 ORANGE SE
GRAND RAPIDS MI 49546

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/19
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D61 - Animal Training, Behavior
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 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 AMY FRANCIS
Signature Title PRESIDENT
Signature Date 5/23/19

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