FORM 1023-EZ for MERRILLVILLE K-9 ASSOCIATION INC

Field Data
EIN 86-3135271
Case Number EO-2021104-000331
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MERRILLVILLE K-9 ASSOCIATION INC
Organization’s Mailing Address 7430 BROADWAY
City MERRILLVILLE
State IN
ZIP 46410
Accounting period End 12
Primary contact name NINA SERRANO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRITTNEY SCHMIDT
PRESIDENT
415 SHAMROCK LANE
VALPARAISO IN 46385

Officer/Director/Trustee Two

NINA SERRANO
INACORPORATOR
7128 POLK COURT
MERRILLVILLE IN 46410

Officer/Director/Trustee Three

JANINE HENRY
INCOPRPORATOR
875 W 79TH AVE
MERRILLVILLE IN 46410

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2021
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I12 - Fund Raising and/or Fund Distribution
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 NINA SERRANO
Signature Title INACORPORATOR
Signature Date 4/8/2021

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