FORM 1023-EZ for ASSOCIATION OF PROVIDERS OF SERVICEDOGS FOR MILITARY VETERANS

Field Data
EIN 81-3792859
Case Number EO-2016301-000294
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ASSOCIATION OF PROVIDERS OF SERVICEDOGS FOR MILITARY VETERANS
Organization’s Mailing Address PO BOX 764134
City WASHINGTON
State DC
ZIP 20013
Accounting period End 1
Primary contact name JORDAN KAYE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JORDAN KAYE
EXECUTIVE DIRECTOR
215 I ST NE UNIT 310
WASHINGTON DC 20002

Officer/Director/Trustee Two

BRIAN SMITH
PRESIDENT OF BOARD OF DIRECTORS
519 RAMPART WAY
OXON HILL MD 20745

Organization’s website WWW.SERVICEDOGS4VETS.ORG
Organization’s email JORDANK@SERVICEDOGS4VETS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2016
Organization Incorporation State DC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
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 Yes
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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