FORM 1023-EZ for PATRIOTS AND PIT BULLS ON LAKE GASTON
| Field | Data |
|---|---|
| EIN | 82-3355530 |
| Case Number | EO-2017317-000365 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | PATRIOTS AND PIT BULLS ON LAKE GASTON |
| Organization’s Mailing Address | 228 LYNWOOD RD |
| City | LITTLETON |
| State | NC |
| ZIP | 27850-8305 |
| Accounting period End | 12 |
| Primary contact name | DR KAREN HAZEN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KAREN HAZEN
DIRECTOR
228 LYNWOOD RD
LITTLETON NC 27850-8305
Officer/Director/Trustee Two
KATHLEEN AND KRISTINA CUCE
OFFICER
2584 AVIATOR DR STE 104
VIRGINIA BEACH VA 23453-3174
Officer/Director/Trustee Three
MATT ERICKSON
OFFICER
2750 GREEN ASH LOOP APT 208
WOODBRIDGE VA 22192-4162
Officer/Director/Trustee Four
BOBBY AKERS
OFFICER
27 SLATE DR
FREDERICKSBURG VA 22406-7439
Officer/Director/Trustee Five
NICK CONDA
OFFICER
5378 MARSHALL RD
BOULDER CO 80305-7358
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 11/1/2017 |
| Organization Incorporation State | NC |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F33 - Group Home, Residential Treatment Facility - Mental Health Related |
| 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 | Yes |
| Donation of funds | Yes |
| 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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