FORM 1023-EZ for DOTS DREAM INC

Field Data
EIN 82-4216012
Case Number EO-2018176-000208
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOTS DREAM INC
Organization’s Mailing Address 108 PLATO PLACE
City QUINCY
State FL
ZIP 32351
Accounting period End 6
Primary contact name AMBER LEVERETTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMBER LEVERETTE
PRESIDENT
108 PLATO PLACE
QUINCY FL 32351

Officer/Director/Trustee Two

CATHERINE HAMMOND
DIRECTOR
21868 NE SR 69
BLOUNTSTOWN FL 32424

Officer/Director/Trustee Three

TRACEY RAKER
DIRECTOR
209550 NE WILD TURKEY LANE
HOSFORD FL 32334

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/23/18
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
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 No
Correctness Declaration Yes
Signature Name AMBER LEVERETTE
Signature Title PRESIDENT
Signature Date 6/21/18

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