FORM 1023-EZ for NEW MEXICO DISASTER DOGS

Field Data
EIN 85-0484087
Case Number EO-2014231-000027
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NEW MEXICO DISASTER DOGS
Organization’s Mailing Address 5880 OFFICE BLVD NE
City ALBUQUERQUE
State NM
ZIP 87109
Accounting period End 12
Primary contact name BOLETTE BIRN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BOLETTE BIRN
PRESIDENT
11 LA ROSA CT
LOS ALAMOS NM 87544

Officer/Director/Trustee Two

FAITH CLARK
SECRETARY
1400 TOKAY
CARLSBAD NM 88220

Officer/Director/Trustee Three

KIM LARK
TREASURER
1400 TOKAY
CARLSBAD NM 88220

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/2002
Organization Incorporation State NM
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D61 - Animal Training, Behavior
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 Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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