FORM 1023-EZ for SOUTHERN SERVICE DOGS INC

Field Data
EIN 82-1323751
Case Number EO-2020240-000338
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTHERN SERVICE DOGS INC
Organization’s Mailing Address 10670 LINTON ROAD
City SANDERSVILLE
State GA
ZIP 31082
Accounting period End 12
Primary contact name JAMES A MATHYS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES A MATHYS
PRESIDENT
10670 LINTON ROAD
SANDERSVILLE GA 31082

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/26/2017
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D99 - Animal-Related 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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JAMES A MATHYS
Signature Title PRESIDENT
Signature Date 8/25/2020
EIN 82-1323751
Case Number EO-2017173-000318
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SOUTHERN SERVICE DOGS INC
Organization’s Mailing Address 10670 LINTON ROAD
City WARTHEN
State GA
ZIP 31094
Accounting period End 12
Primary contact name JAMES ALAN MATHYS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGEL BARCENAS
DIRECTOR
88 ORIAN WAY
STANFORD VA 22556

Officer/Director/Trustee Two

FRED CULLENS
DIRECTOR
1182 GA HWY 15 NORTH
SANDERSVILLE GA 31082

Officer/Director/Trustee Three

STEPHEN EVERETT
DIRECTOR
507 INDUSTRIAL DR
SANDERSVILLE GA 31082

Officer/Director/Trustee Four

SUSAN LEWIS
DIRECTOR
106 MALONE ST
SANDERSVILLE GA 31082

Officer/Director/Trustee Five

HEIDI RUZZO
DIRECTOR
1604 BUTCH CASSIDY TRAIL
WIMOUMA FL 33598

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/25/2017
Organization Incorporation State GA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D61 - Animal Training, Behavior
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
Signature Title
Signature Date

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