FORM 1023-EZ for THE HEART OF AMERICA POODLE CLUB

Field Data
EIN 83-2064694
Case Number EO-2020062-000481
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE HEART OF AMERICA POODLE CLUB
Organization’s Mailing Address 25904 STATE HIGHWAY EE
City MARYVILLE
State MO
ZIP 64468
Accounting period End 12
Primary contact name PETER TROMBLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DOROTHY OLSON
PRESIDENT
111 NW 94TH ST RM205
KANSAS CITY MO 64155-3073

Officer/Director/Trustee Two

THOMAS CARNEAL
BOARD MEMBER
25904 STATE HIGHWAY EE
MARYVILLE MO 64468-7006

Officer/Director/Trustee Three

PATTY LEVINE
BOARD MEMBER
6260 NORTH HOLLY ST
KANSAS CITY MO 64118

Officer/Director/Trustee Four

NANCY TROMBLEY
BOARD MEMBER
211 W 12TH ST
TRENTON MO 64683-1750

Officer/Director/Trustee Five

PETER TROMBLEY
TREASURER
211 W 12TH ST
TRENTON MO 64683-1750

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2019
Organization Incorporation State MO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D60 - Other Services - Specialty Animals
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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 PETER TROMBLEY
Signature Title TREASURER
Signature Date 2/28/2020

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