FORM 1023-EZ for HAITI STREET DOG PROJECT

Field Data
EIN 81-2965277
Case Number EO-2016298-000417
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HAITI STREET DOG PROJECT
Organization’s Mailing Address 5912 ANTHONY LANE
City SACHSE
State TX
ZIP 75048
Accounting period End 5
Primary contact name MICHELE JACO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DIANE GAILLARD
FOUNDER AND EXECUTIVE DIRECTOR
77 AVIATION JACMEL HAITI 49447511
JACMEL HT 9110

Officer/Director/Trustee Two

BRANDIE ANDERSON
PROGRAM DIRECTOR
22368 70TH STREET
NEW RICHLAND MN 56072

Officer/Director/Trustee Three

MICHELE JACO
OPERATIONS DIRECTOR
5912 ANTHONY LANE
SACHSE TX 75048

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/25/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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 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
Signature Title
Signature Date

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