FORM 1023-EZ for THE DOG PEN CHURCH IN CHRIST INC

Field Data
EIN 84-4105507
Case Number EO-2020024-000219
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE DOG PEN CHURCH IN CHRIST INC
Organization’s Mailing Address 4051 NW 5TH STREET
City COCONUT CREEK
State FL
ZIP 33066
Accounting period End 12
Primary contact name JUSTIN BENNETT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JUSTIN UNDERWOOD
PRESIDENT
UNIT 29J
PARCHMAN MS 38738

Officer/Director/Trustee Two

DEVIN BENNETT
VICE PRESIDENT
UNIT 29J
PARCHMAN MS 38738

Officer/Director/Trustee Three

JENNIFER CLUKEY
SECRETARY
4051 NW 5TH STREET
COCONUT CREEK FL 33066

Officer/Director/Trustee Four

JUSTIN BENNETT
TREASURER
7050 PALMETTO PARK RD 15-249
BOCA RATON FL 33433

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/18/2019
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JUSTIN BENNETT
Signature Title TREASURER
Signature Date 1/22/2020

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