FORM 1023-EZ for K9 FIELD VET MOBILE UNIT INC

Field Data
EIN 81-3495399
Case Number EO-2016224-000467
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name K9 FIELD VET MOBILE UNIT INC
Organization’s Mailing Address 607 GALLOWAY DRIVE
City FAYETTEVILLE
State NC
ZIP 28303
Accounting period End 12
Primary contact name CHRISTOPHER D FOSTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELLE DE FORD
PRESIDENT
607 GALLOWAY DRIVE
FAYETTEVILLE NC 28303

Officer/Director/Trustee Two

PAUL WALKER
VICE PRESIDENT
607 GALLOWAY DRIVE
FAYETTEVILLE NC 28303

Officer/Director/Trustee Three

FRED MENDIOLA
SECRETARY
607 GALLOWAY DRIVE
FAYETTEVILLE NC 28303

Officer/Director/Trustee Four

RAY LAZENBY
DIRECTOR
607 GALLOWAY DRIVE
FAYETTEVILLE NC 28303

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/2016
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D40 - Veterinary Services
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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