FORM 1023-EZ for ASSIST DOGS

Field Data
EIN 82-0728823
Case Number EO-2017307-000350
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ASSIST DOGS
Organization’s Mailing Address P O BOX 1603
City WAKE FOREST
State NC
ZIP 27587
Accounting period End 12
Primary contact name PATRICIA JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAULINE COOKE
PRESIDENT
P O BOX 1603
WAKE FOREST NC 27587

Officer/Director/Trustee Two

STANLEY COOKE
SECRETARY-TREASURER
P O BOX 1603
WAKE FOREST NC 27587

Officer/Director/Trustee Three

PENDING PENDING
DIRECTOR
P O BOX 1603
WAKE FOREST NC 27587

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/2017
Organization Incorporation State NC
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: 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 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
Signature Title
Signature Date

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