FORM 1023-EZ for NKLV

Field Data
EIN 46-4636873
Case Number EO-2015064-000199
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NKLV
Organization’s Mailing Address 455 CORAL SEA ST
City HENDERSON
State NV
ZIP 89074
Accounting period End 12
Primary contact name BRYCE HENDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRYCE HENDERSON
PRESIDENT
2654 W HORIZON RIDGE PKWY B-151
HENDERSON NV 89052

Officer/Director/Trustee Two

JENNIFER HENDERSON
DIRECTOR
2654 W HORIZON RIDGE PKWY B-151
HENDERSON NV 89052

Officer/Director/Trustee Three

BILL CHRISTY
DIRECTOR
1047 EAST OAKEY BLVD
LAS VEGAS NV 89104

Officer/Director/Trustee Four

DORI GILBERT
SECRETATY
5270 PEARL ST
LAS VEGAS NV 89120

Officer/Director/Trustee Five

DAWN BENSON
TREASURER
7771 E SEDONA COURT
TUCSON AZ 85715

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/31/2012
Organization Incorporation State NV
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 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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