FORM 1023-EZ for JOG FOR HENRYS DOG
| Field | Data |
|---|---|
| EIN | 47-1441684 |
| Case Number | EO-2014295-000350 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | JOG FOR HENRYS DOG |
| Organization’s Mailing Address | 12332 71ST AVENUE |
| City | BLUE GRASS |
| State | IA |
| ZIP | 52726-9617 |
| Accounting period End | 12 |
| Primary contact name | SAMUEL J SKOREPA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
SHANNON JONES
PRESIDENT-DIRECTOR
12332 71ST AVENUE
BLUE GRASS IA 52726-9617
Officer/Director/Trustee Two
LAURA BAHNS
TREASURER-DIRECTOR
12399 71ST AVENUE
BLUE GRASS IA 52726-9617
Officer/Director/Trustee Three
KELLEY GERDTS
VICE PRESIDENT-DIRECTOR
2030 FAIRMOUNT STREET
DAVENPORT IA 52804-2808
Officer/Director/Trustee Four
SCOTT ERVIN
DIRECTOR
5904 AUSTIN AVENUE
DAVENPORT IA 52804-3437
Officer/Director/Trustee Five
BILJANA DEWSBURY
SECRETARY-DIRECTOR
12360 71ST AVENUE
BLUEGRASS IA 52726-9617
| Organization’s website | JOGFORHENRYSDOG.COM |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/28/2014 |
| Organization Incorporation State | IA |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P80 - Services to Promote the Independence of Specific Populations |
| 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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