FORM 1023-EZ for JACOBS CANINE VETIQUETTE SERVICE DOGS FOR VETERANS & OTHERS INC

Field Data
EIN 83-2595760
Case Number EO-2018341-000383
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JACOBS CANINE VETIQUETTE SERVICE DOGS FOR VETERANS & OTHERS INC
Organization’s Mailing Address 908 DELMAR ROAD
City MORGAN CITY
State LA
ZIP 70380
Accounting period End 12
Primary contact name PERNELL PELLEGRIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY STEPHENS
PRESIDENT
908 DELMAR ROAD
MORGAN CITY LA 70380

Officer/Director/Trustee Two

PERNELL PELLEGRIN
TREASURER
103 RAMEY ROAD
HOUMA LA 70360

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/18
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P50 - Personal Social Services
Organization’s purpose Charitable: Yes
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 MARY STEPHENS
Signature Title PRESIDENT
Signature Date 12/5/18

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