FORM 1023-EZ for ANGIES DOG HOUSE

Field Data
EIN 83-3870045
Case Number EO-2019252-000448
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANGIES DOG HOUSE
Organization’s Mailing Address 19121 CARVER LANE
City FOLEY
State AL
ZIP 36535
Accounting period End 12
Primary contact name ANGELA EIB
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGELA EIB
DIRECTOR
19121
FOLEY AL 36535

Officer/Director/Trustee Two

JUSTIN MADDUX
OFFICER
19121 CARVER LANE
FOLEY AL 36535

Officer/Director/Trustee Three

CHARLIE DORMAN
OFFICER
19223 CARVER LANE
FOLEY AL 36535

Organization’s website
Organization’s email ANGIESDOGHOUSE@OUTLOOK.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/24/18
Organization Incorporation State AL
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: No
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 Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance Yes
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 ANGELA EIB
Signature Title DIRECTOR
Signature Date 9/6/19

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