FORM 1023-EZ for HEART OF TEXAS DOCK DOGS

Field Data
EIN 27-1389386
Case Number EO-2016146-000069
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEART OF TEXAS DOCK DOGS
Organization’s Mailing Address 6306 SUNSTONE FALLS LANE
City KATY
State TX
ZIP 77493-1292
Accounting period End 12
Primary contact name CHERYN POLLARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

AMANDA ROSE
PRESIDENT
6306 SUNSTONE FALLS LANE
KATY TX 77493-1292

Officer/Director/Trustee Two

DON BOLTAUZER
VICE PRESIDENT
58 WRENS SONG PLACE
THE WOODLANDS TX 77382-1280

Officer/Director/Trustee Three

CHERYN POLLARD
TREASURER
1905 ELMVIEW DRIVE
HOUSTON TX 77080-5345

Officer/Director/Trustee Four

KRISTINA SHACKELFORD
SECRETARY
6306 SUNSTONE FALLS LANE
KATY TX 77493-1292

Officer/Director/Trustee Five

TOM JAMES
DIRECTOR
114 VALLEY DRIVE
LIBERTY TX 77575-3322

Organization’s website WWW.HEARTOFTEXASDOCKDOGS.COM
Organization’s email HOTDOCKDOGSTREASURER@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/16/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 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
Signature Title
Signature Date

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