FORM 1023-EZ for LEAN ON ME SERVICE DOGS

Field Data
EIN 81-0845335
Case Number EO-2015353-000130
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEAN ON ME SERVICE DOGS
Organization’s Mailing Address 2502 CEDARWOOD AVE STE 3
City BELLINGHAM
State WA
ZIP 98225
Accounting period End 12
Primary contact name CHARLES HAMSTREET
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHARLES HAMSTREET
PRESIDENT
2502 CEDARWOOD AVE STE 3
BELLINGHAM WA 98225

Officer/Director/Trustee Two

AMBER TODD
SEC/TRES
9292 MOLERS LN
BLAINE WA 98230

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/14/2015
Organization Incorporation State WA
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: 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 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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