FORM 1023-EZ for CANTER MID ATLANTIC

Field Data
EIN 47-5590249
Case Number EO-2016012-000156
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CANTER MID ATLANTIC
Organization’s Mailing Address 321 FARTHER LANE
City VASS
State NC
ZIP 28394
Accounting period End 12
Primary contact name ALLIE CONRAD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ALLIE CONRAD
EXECUTIVE DIRECTOR
321 FARTHER LANE
VASS NC 28394

Officer/Director/Trustee Two

JANE DAY
SECRETARY
100 GARY ROAD
CARRBORO NC 27510

Officer/Director/Trustee Three

JOHN DORRIES
TREASURER
321 FARTHER LANE
VASS NC 28394

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/10/2015
Organization Incorporation State NC
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 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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