FORM 1023-EZ for DAK FOUNDATION

Field Data
EIN 81-3537360
Case Number EO-2016251-000197
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DAK FOUNDATION
Organization’s Mailing Address 1427 W 86TH STREET STE 540
City INDIANAPOLIS
State IN
ZIP 46260
Accounting period End 12
Primary contact name JOHNETTE M GRANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ARNOLD E GOLDBERG
FOUNDER/CHIEF EXECUTIVE OFFICER
9458 HUNTINGTON LN
INDIANAPOLIS IN 46260

Officer/Director/Trustee Two

ELIZABETH A SHERLOCK
CO FOUNDER/CHIEF OPERATIONS OFFICER
5878 WILDFLOWER DR
INDIANAPOLIS IN 46254

Officer/Director/Trustee Three

JOHNETTE M GRANT
CHIEF FINANCIAL OFFICER
801 N SHORTRIDGE RD H4
INDIANAPOLIS IN 46219

Officer/Director/Trustee Four

DAVE ROSE
CORPORATE DIRECTOR OF SALES
13032 RATLIFF
INDIANAPOLIS IN 46033

Officer/Director/Trustee Five

RON WHITE
CORPORATE FUNDRAISER ADVISOR
13828 PLAINTREE DR
CARMEL IN 46033

Organization’s website
Organization’s email HAPPYPETS@THEDAKFOUNDATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/2016
Organization Incorporation State IN
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: Yes
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
Signature Title
Signature Date

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