FORM 1023-EZ for THE BROWN DOG YOGA FOUNDATION

Field Data
EIN 38-4050983
Case Number EO-2018068-000228
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BROWN DOG YOGA FOUNDATION
Organization’s Mailing Address 2109 WILTSHIRE BLVD
City HUNTINGTON
State WV
ZIP 25701
Accounting period End 12
Primary contact name KATRINA MAILLOUX
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATRINA MAILLOUX
PRESIDENT
2109 WILTSHIRE BLVD
HUNTINGTON WV 25701

Officer/Director/Trustee Two

TOMI WEBER
DIRECTOR
104 10TH AVE
HUNTINGTON WV 25701

Officer/Director/Trustee Three

MARK COCHRAN
DIRECTOR
113 SYCAMORE ROAD
LINTHICUM MD 21090

Organization’s website
Organization’s email KATRINA@BROWNDOGYOGA.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/12/17
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S12 - Fund Raising and/or Fund Distribution
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 Yes
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 KATRINA MAILLOUX
Signature Title PRESIDENT
Signature Date 3/7/18

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