FORM 1023-EZ for FUNKY DOG THEATRICAL INC

Field Data
EIN 84-2532449
Case Number EO-2019212-000289
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FUNKY DOG THEATRICAL INC
Organization’s Mailing Address 587 W EAU GALLIE BLVD 101
City MELBOURNE
State FL
ZIP 32935
Accounting period End 9
Primary contact name HOLLY KARNES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HOLLY KARNES
DIRECTOR
1060 GLENDALE AVE NW
PALM BAY FL 32907

Officer/Director/Trustee Two

AARON KARNES
MANAGER
1060 GLENDALE AVE NW
PALM BAY FL 32907

Officer/Director/Trustee Three

HEATHER MCFARLAND
PRESIDENT
2880 N WICKHAM ROAD 510
MELBOURNE FL 32935

Officer/Director/Trustee Four

KELLY GATSON SWARTZ
VICE PRESIDENT
228 ORLANDO BLVD
INDIALANTIC FL 32903

Officer/Director/Trustee Five

GLENN KRASNY
HISTORIAN
2240 ABALONE AVE
INDIALANTIC FL 32903

Organization’s website
Organization’s email FUNKYDOGFL@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/24/19
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A60 - Performing Arts Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name HOLLY KARNES
Signature Title DIRECTOR
Signature Date 7/29/19

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