FORM 1023-EZ for ELLIOTS LITTLE DOG HAVEN

Field Data
EIN 47-5584479
Case Number EO-2015350-000169
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ELLIOTS LITTLE DOG HAVEN
Organization’s Mailing Address 142 LOWELL RD UNIT 17 NO 205
City HUDSON
State NH
ZIP 03051
Accounting period End 12
Primary contact name VICTORIA LEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

VICTORIA LEE
PRESIDENT
426 ELK RUN
HUDSON NH 03051

Officer/Director/Trustee Two

CYNTHIA REARDON
VICE PRESIDENT
15 FOUNDERS WAY
AMHERST NH 03031

Officer/Director/Trustee Three

MARTHA LEE
SECRETARY
426 ELK RUN
HUDSON NH 03051

Officer/Director/Trustee Four

RICARD ALEXIS
MEMBER
4 CASCO DR
NASHUA NH 03060

Officer/Director/Trustee Five

LINDSAY GOLDSTEIN
MEMBER
10 HUGHEY ST
NASHUA NH 03060

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/2015
Organization Incorporation State NH
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 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
Signature Title
Signature Date

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