FORM 1023-EZ for THE DANCING GOAT DME

Field Data
EIN 86-3440999
Case Number EO-2021120-000010
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE DANCING GOAT DME
Organization’s Mailing Address 215 FOGWOOD DRIVE
City REIDSVILLE
State NC
ZIP 27320
Accounting period End 12
Primary contact name JACQUELINE STANLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHY LOVELACE
PRESIDENT
215 FOGWOOD DRIVE
REIDSVILLE NC 27320

Officer/Director/Trustee Two

KATHY TAYLOR
SECRETARY
410 TALLEY ROAD
REIDSVILLE NC 27320

Officer/Director/Trustee Three

TRACI RITCHIE
TREASURER
2510 HILLSDALE FOREST COURT
SUMMERFIELD NC 27358

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2021
Organization Incorporation State NC
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E60 - Health Support 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KATHY LOVELACE
Signature Title PRESIDENT
Signature Date 4/28/2021

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