FORM 1023-EZ for HAIR OF THE DOG CANINE HALFWAY HOUSE

Field Data
EIN 83-1666145
Case Number EO-2018346-000299
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HAIR OF THE DOG CANINE HALFWAY HOUSE
Organization’s Mailing Address 4083 ST RT W
City WEST PLAINS
State MO
ZIP 65438
Accounting period End 12
Primary contact name KIMBERLY WARREN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY WARREN
PRESIDENT
8855 STATE HIGHWAY 99
BIRCH TREE MO 65438

Officer/Director/Trustee Two

DEBBIE WADE
TREASURER
4083 STATE RT W
WEST PLAINS MO 65775

Officer/Director/Trustee Three

MICHELLE WYNNE
SECRETARY
708 EADS STREET
WEST PLAINS MO 65775

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/17/18
Organization Incorporation State MO
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: Yes
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 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 KIMBERLY WARREN
Signature Title PRESIDENT
Signature Date 12/10/18

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