FORM 1023-EZ for OTTERHOUND CLUB OF AMERICA REPRODUCTION BANK INC

Field Data
EIN 82-0633021
Case Number EO-2018130-000362
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OTTERHOUND CLUB OF AMERICA REPRODUCTION BANK INC
Organization’s Mailing Address 3846 JUDDVILLE ROAD
City FISH CREEK
State WI
ZIP 54212
Accounting period End 12
Primary contact name REBECCA VAN HOUTEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOELLEN GREGORY DVM
PRESIDENT
1300 OLNEY SANDY SPRING RD
SANDY SPRING MD 20860

Officer/Director/Trustee Two

LINDA SCHRADER
VICE PRESIDENT
3853 COUNTY ROAD 3110
CAMPBELL TX 75422-3243

Officer/Director/Trustee Three

EIBHLIN GLENNON
SECRETARY
24981 WEST BEACH DR
ANTIOCH IL 60002

Officer/Director/Trustee Four

REBECCA VAN HOUTEN
TREASURER
3846 JUDDVILLE ROAD
FISH CREEK WI 20860

Officer/Director/Trustee Five

KATHLEEN MUNGER
DIRECTOR
1306 HARMONY LANE
ANNAPOLIS MD 21409

Organization’s website HTTPS://WWW.OHCA-REPROBANK.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/2/17
Organization Incorporation State MD
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: No
Religious: No
Educational: Yes
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 JOELLEN GREGORY DVM
Signature Title PRESIDENT
Signature Date 5/7/18

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