FORM 1023-EZ for BLACKDOG CLUB INC
| Field | Data |
|---|---|
| EIN | 47-5469314 |
| Case Number | EO-2016264-000094 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | BLACKDOG CLUB INC |
| Organization’s Mailing Address | 1000 FREEDOM ROAD |
| City | SMITHFIELD |
| State | NC |
| ZIP | 27577-8388 |
| Accounting period End | 12 |
| Primary contact name | DAWN HERRON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DAWN HERRON
PRESIDENT
1000 FREEDOM ROAD
SMITHFIELD NC 27577-8388
Officer/Director/Trustee Two
WENDY MOSS
VICE PRESIDENT
107 CHESTNUT RIDGE CIRCLE
KNIGHTDALE NC 27545-9219
Officer/Director/Trustee Three
SHELLEY MOSS
DIRECTOR OF MARKETING FUNDRAISING
107 CHESTNUT RIDGE CIRCLE
KNIGHTDALE NC 27545-9219
Officer/Director/Trustee Four
TAMMY FLOWERS
TREASURER
240 SOUTHGATE DRIVE
GARNER NC 27529-8921
Officer/Director/Trustee Five
COLLEEN KAROLCHYK
SECRETARY
112 LONG GRASS DRIVE
SMITHFIELD NC 27577-7389
| Organization’s website | HTTPS://BDCRESCUE.ORG |
|---|---|
| Organization’s email | BLACKDOGCLUB@OUTLOOK.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/30/2015 |
| Organization Incorporation State | NC |
| 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: 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 | 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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