FORM 1023-EZ for SOUTH SHORE POINTING DOG ACADEMY INC

Field Data
EIN 84-3676194
Case Number EO-2020030-000269
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTH SHORE POINTING DOG ACADEMY INC
Organization’s Mailing Address 1403 HARTLAND ROAD
City SOMERSET
State NY
ZIP 14012
Accounting period End 9
Primary contact name MICHAEL A LIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL A LIS
PRESIDENT
1403 HARTLAND ROAD
SOMERSET NY 14012

Officer/Director/Trustee Two

ESTER CASSATT
OFFICER
10569 ROCKY MOUNTAIN RD
NORTH COLLINS NY 14111

Officer/Director/Trustee Three

MARTY CARD
OFFICER
32 BISSELL DRIVE
AMHERST NY 14226

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/2019
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHAEL A LIS
Signature Title PRESIDENT
Signature Date 1/28/2020

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