FORM 1023-EZ for K9S 4 DOGTAGS CORPORATION

Field Data
EIN 81-1388353
Case Number EO-2016187-000266
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name K9S 4 DOGTAGS CORPORATION
Organization’s Mailing Address 338 S ARLINGTON AVE SUITE 209C
City INDIANAPOLIS
State IN
ZIP 46219-7327
Accounting period End 12
Primary contact name CHRISTINA SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTINA SMITH
PRESIDENT
2850 MERTS DRIVE
INDIANAPOLIS IN 46237-1163

Officer/Director/Trustee Two

DOUGLAS SMITH
VICE PRESIDENT
2850 MERTS DRIVE
INDIANAPOLIS IN 46237-1163

Officer/Director/Trustee Three

WILLIAM PURCELL
TRUSTEE
5507 WAGON WHEEL TRAIL
INDIANAPOLIS IN 46237-2075

Officer/Director/Trustee Four

ANITA PURCELL
TRUSTEE
5507 WAGON WHEEL TRAIL
INDIANAPOLIS IN 46237-2075

Organization’s website WWW.K9S4DOGTAGS.ORG
Organization’s email CMS@K9S4DOGTAGS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/2016
Organization Incorporation State IN
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: 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 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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