FORM 1023-EZ for INDEPENDENT THERAPY DOGS INCORPORATED

Field Data
EIN 27-3185651
Case Number EO-2016071-000151
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INDEPENDENT THERAPY DOGS INCORPORATED
Organization’s Mailing Address 6937 WYOMING AVENUE
City LA MESA
State CA
ZIP 91942
Accounting period End 12
Primary contact name RICHARD COLMAN CPA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHIRLEY COLMAN
EXECUTIVE DIRECTOR
6937 WYOMING AVE
LA MESA CA 91942

Officer/Director/Trustee Two

SANDY STORIE
SECRETARY
740 NE 3RD ST SUITE 3-246
BEND OR 97701

Officer/Director/Trustee Three

RICHARD N COLMAN
TREASURER
2 RESERVOIR CIRCLE SUITE 100
BALTIMORE MD 21208

Organization’s website HTTPS://SITES.GOOGLE.COM/SITE/IDTDINC
Organization’s email ITDI-2010@ATT.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/9/2010
Organization Incorporation State CA
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
Signature Title
Signature Date

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