FORM 1023-EZ for HEART OF THE OZARKS WORKING DOG CLUB

Field Data
EIN 83-1156372
Case Number EO-2018200-000387
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEART OF THE OZARKS WORKING DOG CLUB
Organization’s Mailing Address 2388 RUMLEY ROAD
City LESLIE
State AR
ZIP 72645
Accounting period End 12
Primary contact name LINDA DRAGOS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMANTHA WILLIAMS
PRESIDENT
2388 RUMLEY RD
LESLIE AR 72645

Officer/Director/Trustee Two

ART SHAW
TRAINING DIRECTOR
2388 RUMLEY RD
LESLIE AR 72645

Officer/Director/Trustee Three

STEVE DRAGOS
VICE PRESIDENT
3023 PRINCETON ST
VAN BUREN AR 72956

Officer/Director/Trustee Four

DONNA DUNN
SECRETARY
2725 SANDHILL RD
LONOKE AR 72086

Officer/Director/Trustee Five

LINDA DRAGOS
TREASURER
3923 PRINCETON ST
VAN BUREN AR 72956

Organization’s website HTTP://OZARKSWDC.COM/
Organization’s email INFO@OZARKSWDX.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/10/18
Organization Incorporation State AR
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LINDA DRAGOS
Signature Title TREASURER
Signature Date 7/17/18

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