FORM 1023-EZ for GULF COAST K9 FOR COPS INC

Field Data
EIN 81-2028022
Case Number EO-2016112-000196
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GULF COAST K9 FOR COPS INC
Organization’s Mailing Address 1181 S SUMTER BLVD STE 307
City NORTH PORT
State FL
ZIP 34287
Accounting period End 12
Primary contact name JAMES LEWIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAMES LEWIS
PRESIDENT, DIRECTOR
1181 S SUMTER BLVD STE 307
NORTH PORT FL 34287

Officer/Director/Trustee Two

SHAUNA LEWIS
VICE PRESIDENT, DIRECTOR
1181 S SUMTER BLVD STE 307
NORTH PORT FL 34287

Officer/Director/Trustee Three

LINDSEY GRACI
SECRETARY, DIRECTOR
5712 EASTWIND DR
SARASOTA FL 34233

Officer/Director/Trustee Four

COURTNEY PALINKAS
TREASURER, DIRECTOR
1867 SCENIC DR
VENICE FL 34293

Officer/Director/Trustee Five

LEVKO KLOS
CFO, DIRECTOR
2502 ATHENA TER
NORTH PORT FL 34286

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/29/2016
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 Yes
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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