FORM 1023-EZ for COLD CASE K9 PROJECT

Field Data
EIN 81-4188095
Case Number EO-2017003-000412
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COLD CASE K9 PROJECT
Organization’s Mailing Address 2801 50TH ST SW
City NAPLES
State FL
ZIP 34116
Accounting period End 12
Primary contact name MARILEE VAN TINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARILEE VAN TINE
CHAIRMAN
2801 50TH ST SW
NAPLES FL 34116

Officer/Director/Trustee Two

KENNETH LICKLIDER
VICE CHAIRMAN
7953 N OLD RTE 31
DENVER IN 46926

Officer/Director/Trustee Three

JOAN LARSON
BOARD MEMBER
5501 WILMAR LN
NAPLES FL 34112

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/7/2016
Organization Incorporation State FL
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: No
Religious: No
Educational: No
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 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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