FORM 1023-EZ for PATRIOTIC CANINE CORP

Field Data
EIN 84-2765033
Case Number EO-2019329-000217
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PATRIOTIC CANINE CORP
Organization’s Mailing Address 1415 GROVE
City NORTH CHICAGO
State IL
ZIP 60064
Accounting period End 12
Primary contact name CARLOS FRANK COLON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARLOS FRANK COLON
CHAIRMAN OF THE BOARD
1415 GROVE
NORTH CHICAGO IL 60064

Officer/Director/Trustee Two

TERESE SIMMONS
TREASURER
37080 N BAYONNE AVE
BEACH PARK IL 60087

Officer/Director/Trustee Three

GRADY BROWN
BOARD MEMBER
943 N LATROBE AVE
CHICAGO IL 60651

Officer/Director/Trustee Four

ROBIN ROTH
BOARD MEMBER
3064 EAST CORNELL AVE
GILBERT AZ 85234

Officer/Director/Trustee Five

JUAN ANTONIO MARTINEZ
BOARD MEMBER
1415 GROVE
NORTH CHICAGO IL 60064

Organization’s website N/A
Organization’s email TAX.RELATED.SOLUTIONS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
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 CARLOS FRANK COLON
Signature Title CHAIRMAN OF THE BOARD
Signature Date 11/21/19

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