FORM 1023-EZ for MODOC COUNTY SHERIFFS K9 ASSOCIATION

Field Data
EIN 36-4792686
Case Number EO-2019156-000213
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MODOC COUNTY SHERIFFS K9 ASSOCIATION
Organization’s Mailing Address 211 E FIRST ST
City ALTURAS
State CA
ZIP 96101
Accounting period End 12
Primary contact name HEATHER HADWICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAUL ARMSTRONG
PRESIDENT
198 JUNIPER AC LN
ALTURAS CA 96101

Officer/Director/Trustee Two

BRAD WILLIAMS
VICE PRESIDENT
404 NORTH EAST B ST
ALTURAS CA 96101

Officer/Director/Trustee Three

CHRISTY PORTER
SECRETARY
1212 KEMBLE STREET
ALTURAS CA 96101

Officer/Director/Trustee Four

RUTH SWAYZE
TREASURER
PO BOX 460
ALTURAS CA 96101

Officer/Director/Trustee Five

WILLIAM DOWDY
SHERIFF
211 E FIRST ST
ALTURAS CA 96101

Organization’s website
Organization’s email HHADWICK@MODOCSHERIFF.US
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/15
Organization Incorporation State CA
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 No
Correctness Declaration Yes
Signature Name WILLIAM DOWDY
Signature Title SHERIFF
Signature Date 6/3/19

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