FORM 1023-EZ for SUMMIT DOG INC

Field Data
EIN 83-1382200
Case Number EO-2018290-000219
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SUMMIT DOG INC
Organization’s Mailing Address 13604 FLORIS ST
City HERNDON
State VA
ZIP 20171-3505
Accounting period End 12
Primary contact name MICHELLE ROBINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE ROBINSON
CEO, PRESIDENT, AND TREASURER
13604 FLORIS ST
HERNDON VA 20171-3505

Officer/Director/Trustee Two

KRISTINE CAMPESI
SECRETARY
115 CABBAGE WHITE DR
WHITE POST VA 22663

Organization’s website WWW.SUMMITDOG.ORG
Organization’s email SUMMITDOG2018@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/3/18
Organization Incorporation State VA
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: Yes
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 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 MICHELLE ROBINSON
Signature Title CEO, PRESIDENT, AND TREASURER
Signature Date 10/13/18

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