FORM 1023-EZ for HAVRE DOG PARK CLUB

Field Data
EIN 83-1584881
Case Number EO-2018241-000124
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAVRE DOG PARK CLUB
Organization’s Mailing Address 1144 CLEVELAND AVENUE
City HAVRE
State MT
ZIP 59501
Accounting period End 12
Primary contact name JENN ARCHIBALD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENN ARCHIBALD
PRESIDENT
1144 CLEVELAND AVENUE
HAVRE MT 59501

Officer/Director/Trustee Two

CHAD STEWART
VICE PRESIDENT
530 13TH AVENUE
HAVRE MT 59501

Officer/Director/Trustee Three

LORA COMPTON
TREASURER
725 SUNSET DRIVE
HAVRE MT 59501

Officer/Director/Trustee Four

KAREN DATKO
SECRETARY
1208 4TH STREET
HAVRE MT 59501

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/18
Organization Incorporation State MT
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 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 KAREN DATKO
Signature Title SECRETARY
Signature Date 8/27/18

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