FORM 1023-EZ for CHANGE DOG

Field Data
EIN 85-1951829
Case Number EO-2020198-000326
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CHANGE DOG
Organization’s Mailing Address 700 RD 1275
City BALDWYN
State MS
ZIP 38824
Accounting period End 12
Primary contact name MERIDITH PERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MERIDITH PERRY
PRESIDENT
700 RD 1275
BALDWYN MS 38824

Officer/Director/Trustee Two

ROBERT THOMPSON
VICE PRESIDENT
700 RD 1275
BALDWYN MS 38824

Officer/Director/Trustee Three

TED PERRY
TREASURER
3635 CLAIRICE COVE
BARTLETT TN 38133

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2020
Organization Incorporation State MS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 Yes
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 MERIDITH PERRY
Signature Title PRESIDENT
Signature Date 7/14/2020

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