FORM 1023-EZ for S AND D K9 REHABILITATION

Field Data
EIN 46-3019280
Case Number EO-2015007-000391
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name S AND D K9 REHABILITATION
Organization’s Mailing Address 6535 HARVEST RIDGE LANE
City HUGHESVILLE
State MD
ZIP 20637
Accounting period End 12
Primary contact name DIANA MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DIANA MILLER
TRUSTEE
6535 HARVEST RIDGE LANE
HUGHESVILLE MD 20637-2885

Officer/Director/Trustee Two

LYN CIANFLOCCO
TRUSTEE
2316 ALAVA COURT
WALDORF MD 20603-3210

Officer/Director/Trustee Three

SETH BLANDFORD
DIRECTOR
6535 HARVEST RIDGE LANE
HUGHESVILLE MD 20637-2885

Organization’s website WWW.SDK9REHAB.COM
Organization’s email SDK9REHAB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/13/2013
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D61 - Animal Training, Behavior
Organization’s purpose Charitable: No
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 No
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
Signature Title
Signature Date

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