FORM 1023-EZ for BAKKEN PAWS

Field Data
EIN 47-5402528
Case Number EO-2016327-000244
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BAKKEN PAWS
Organization’s Mailing Address 1111 2ND STREET EAST
City DICKINSON
State ND
ZIP 58601
Accounting period End 12
Primary contact name TASHA HERMANSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TASHA HERMANSON
PRESIDENT
1111 2ND STREET EAST
DICKINSON ND 58601

Officer/Director/Trustee Two

BRENNA HUTMACHER
VICE PRESIDENT
380 9TH AVE E
DICKINSON ND 58601

Officer/Director/Trustee Three

BECKY DEICHERT
TREASURER
859 12TH AVE WEST
DICKINSON ND 58601

Officer/Director/Trustee Four

BONNIE FETCH
SECRETARY
1551 EAST VILLARD ST
DICKINSON ND 58601

Organization’s website
Organization’s email BAKKENPAWS@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/12/2015
Organization Incorporation State ND
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 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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