FORM 1023-EZ for UNITED TEDDY ROOSEVELT TERRIER CLUBOF AMERICA

Field Data
EIN 46-3223118
Case Number EO-2017261-000302
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UNITED TEDDY ROOSEVELT TERRIER CLUBOF AMERICA
Organization’s Mailing Address 1351 HUDSONVILLE RD
City HOLLY SPRINGS
State MS
ZIP 38635-7244
Accounting period End 12
Primary contact name DEB BOTRUFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEB BOTRUFF
PRESIDENT
1351 HUDSONVILLE RD
HOLLY SPRINGS MS 38635-7244

Officer/Director/Trustee Two

SHEILA MESICK
VICE PRESIDENT
5309 HEVERLY RD
TRUMANSBURG NY 14886-9432

Officer/Director/Trustee Three

PATRICIA BLANKENSHIP
TREASURER
333 CRAWFORD RD
FLORA MS 39071-9419

Officer/Director/Trustee Four

KAYE STEVENSON
SECRETARY
205 DONNA DR
MONTGOMERY AL 36108-5617

Officer/Director/Trustee Five

JOHN TUSCHNER
DIRECTOR
10076 173RD STREET W
LAKEVILLE MN 55044-9473

Organization’s website WWW.UTRTCA.ORG
Organization’s email UTRTCA@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/1/2008
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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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