FORM 1023-EZ for DOGS WITH A PURPOSE

Field Data
EIN 83-0577922
Case Number EO-2019028-000315
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOGS WITH A PURPOSE
Organization’s Mailing Address 116 BYRUM STREET
City CARY
State NC
ZIP 27511
Accounting period End 12
Primary contact name JACKLYN KELLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACKLYN R KELLY
OWNER
116 BYRUM STREET
CARY NC 27511

Officer/Director/Trustee Two

DENNIS KELLY
TREASURER
116 BYRUM STREET
CARY NC 27511

Officer/Director/Trustee Three

JACKLYN MICHELE BLAKE
DIRECTOR
104 ADEFIELD LANE
HOLLY SPRINGS NC 27540

Organization’s website WWW.DOGSWITHAPURPOSE.COM
Organization’s email DOGSWITHAPURPOSE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/8/18
Organization Incorporation State NC
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: Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JACKLYN R KELLY
Signature Title OWNER
Signature Date 12/14/18

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