FORM 1023-EZ for NORTH LITTLE ROCK POLICE K9 FOUNDATION

Field Data
EIN 83-3660987
Case Number EO-2019074-000727
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH LITTLE ROCK POLICE K9 FOUNDATION
Organization’s Mailing Address 200 WEST PERSHING
City NORTH LITTLE ROCK
State AR
ZIP 72114
Accounting period End 12
Primary contact name BRIAN THOMAS DEDRICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN DEDRICK
VICE PRESIDENT/TREASURER
200 WEST PERSHING
NORTH LITTLE ROCK AR 72114

Officer/Director/Trustee Two

TRACY ROULSTON
PRESIDENT
200 WEST PERSHING
NORTH LITTLE ROCK AR 72114

Officer/Director/Trustee Three

JOHN LYON
SECRETARY
200 WEST PERSHING
NORTH LITTLE ROCK AR 72114

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/19
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M60 - Public Safety
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 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 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 BRIAN DEDRICK
Signature Title VICE PRESIDENT/TREASURER
Signature Date 3/13/19

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