FORM 1023-EZ for DOG OPPORTUNITY GRANTS AND SUPPORT

Field Data
EIN 45-5485758
Case Number EO-2017324-000451
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DOG OPPORTUNITY GRANTS AND SUPPORT
Organization’s Mailing Address 6075 STATELINE ROAD
City SOUTH BELOIT
State IL
ZIP 61080
Accounting period End 12
Primary contact name SCOTT MELAND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JON NELSON
PRESIDENT
595 ARTHUR ST
VERONA WI 53593

Officer/Director/Trustee Two

TRACI CRANE
SECRETARY
4108 MARSH AVE
ROCKFORD IL 61114

Officer/Director/Trustee Three

VAL HECHT
BOARD MEMBER
315 WINDSOR COURT
SOUTH ELGIN IL 60177

Officer/Director/Trustee Four

CAROLYN NIEMEIER
BOARD MEMBER
11815 CARROL ROAD
BELOIT WI 53511

Officer/Director/Trustee Five

SCOTT MELAND
OFFICER
6075 STATELINE ROAD
SOUTH BELOIT IL 61080

Organization’s website WWW..DOGSNFP.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/2012
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D60 - Other Services - Specialty Animals
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 No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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