FORM 1023-EZ for ROCKY MOUNTAIN SERVICE DOG PROJECT

Field Data
EIN 85-0679510
Case Number EO-2020107-000083
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ROCKY MOUNTAIN SERVICE DOG PROJECT
Organization’s Mailing Address 10815 N HIGHWAY 38
City DEWEYVILLE
State UT
ZIP 84309
Accounting period End 12
Primary contact name RAELENE PENMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAELENE PENMAN
PRESIDENT
10815 N HWY 38
DEWEYVILLE UT 84309

Officer/Director/Trustee Two

SAMANTHA KITCHEN
VICE PRESIDENT
640 W 4200 N
OAKLEY UT 84055

Officer/Director/Trustee Three

WENDY PEARSON
SECRETARY
145 MAXFIELD DR
OGDEN UT 84404

Officer/Director/Trustee Four

VANESSA STRONG
TREASURER
276 W 650 N
CLEARFIELD UT 84015

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/9/2020
Organization Incorporation State UT
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S81 - Women's Service Clubs
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 Yes
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 RAELENE PENMAN
Signature Title PRESIDENT
Signature Date 4/14/2020

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