FORM 1023-EZ for THE K9 BASCO FOUNDATION

Field Data
EIN 82-4543772
Case Number EO-2018059-000292
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE K9 BASCO FOUNDATION
Organization’s Mailing Address 5499 CR 401 SOUTH
City HENDERSON
State TX
ZIP 75654
Accounting period End 12
Primary contact name ANTONIO VILLALOBOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTONIO VILLALOBOS
PRESIDENT/FOUNDER
5499 CR 401 SOUTH
HENDERSON TX 75654

Officer/Director/Trustee Two

CARALEE THOMSEN
BOARD OF DIRECTORS
5499 CR 401 SOUTH
HENDERSON TX 75654

Officer/Director/Trustee Three

ANDREW DYDASCO
BOARD OF DIRECTORS
PO BOX 1348
FORT CAMPBELL KY 42223

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/18
Organization Incorporation State TX
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: 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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 ANTONIO VILLALOBOS
Signature Title PRESIDENT/FOUNDER
Signature Date 2/26/18

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