FORM 1023-EZ for THE UNITED STATES POLICE CANINE ASSOCIATION REGION 25

Field Data
EIN 81-1991633
Case Number EO-2016141-000303
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE UNITED STATES POLICE CANINE ASSOCIATION REGION 25
Organization’s Mailing Address 217 N OAK STREET
City ROANOKE
State TX
ZIP 76262
Accounting period End 12
Primary contact name ROBERT G KUBICEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRIAN HINTZ
DIRECTOR/PRESIDENT
PO BOX 270451
FLOWER MOUND TX 75027

Officer/Director/Trustee Two

JOSH BROWN
DIRECTOR/VICE PRESIDENT
202 S FAIRWAY STREET
HENRIETTA TX 76365

Officer/Director/Trustee Three

ROBERT KUBICEK
DIRECTOR/SECRETARY/TREASURER
217 N OAK STREET
ROANOKE TX 76262

Officer/Director/Trustee Four

JOSHUA NEW
TRUSTEE
PO BOX 174
ABILENE TX 79604

Officer/Director/Trustee Five

KEVIN EASLEY
TRUSTEE
PO BOX 174
ABILENE TX 79604

Organization’s website WWW.USPCAREGION25.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/29/2016
Organization Incorporation State TX
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D60 - Other Services - Specialty Animals
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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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