FORM 1023-EZ for SKATE DOG INC

Field Data
EIN 83-2240114
Case Number EO-2018295-000284
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SKATE DOG INC
Organization’s Mailing Address 214 ROBITAILLE RD
City NEW IBERIA
State LA
ZIP 70560
Accounting period End 12
Primary contact name ANDREA DEXTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREA DEXTER
PRESIDENT/DIRECTOR
214 ROBITAILLE RD
NEW IBERIA LA 70560

Officer/Director/Trustee Two

CAROL DEXTER
SEC/TREASURER/DIRECTOR
214 ROBITAILLE ROAD
NEW IBERIA LA 70560

Officer/Director/Trustee Three

COREY BLAKESLEY
VICE PRESIDENT/DIRECTOR
214 ROBITAILLE RD
NEW IBERIA LA 70560

Organization’s website N/A
Organization’s email SKATEDOG360@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/19/18
Organization Incorporation State LA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANDREA DEXTER
Signature Title PRESIDENT
Signature Date 10/19/18

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