FORM 1023-EZ for SERVICE DOGS FOR MARY

Field Data
EIN 47-1947638
Case Number EO-2014342-000339
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SERVICE DOGS FOR MARY
Organization’s Mailing Address 5703 EMERALD LAKE DRIVE
City MEDINA
State OH
ZIP 44256-6115
Accounting period End 12
Primary contact name THOMAS M COWLING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THOMAS M COWLING
PRESIDENT/TREASURER
5703 EMERALD LAKE DRIVE
MEDINA OH 44256-6115

Officer/Director/Trustee Two

SHERRI A SHINSKY
VICE PRESIDENT/SECRETARY
5749 ROSEMONT WAY
MEDINA OH 44256-3565

Officer/Director/Trustee Three

KEVIN J SHINSKY
VICE PRESIDENT-INFO TECH
5749 ROSEMONT WAY
MEDINA OH 44256-3565

Organization’s website HTTP://WWW.SERVICEDOGSFROMMARY.ORG
Organization’s email TOM@SERVICEDOGSFROMMARY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/15/2014
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D60 - Other Services - Specialty Animals
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 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
Signature Title
Signature Date

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