FORM 1023-EZ for WHITE RAVEN K9 INCORPORATED

Field Data
EIN 47-4126076
Case Number EO-2017207-000181
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WHITE RAVEN K9 INCORPORATED
Organization’s Mailing Address 59 VALLEY POINT DRIVE
City ALBRIGHT
State WV
ZIP 26519
Accounting period End 12
Primary contact name DAVID T SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID SMITH
PRESIDENT
20501 NEERWINDER STREET
GERMANTOWN MD 20874

Officer/Director/Trustee Two

LISA MERREN-GOLDBLATT
VICE PRESIDENT
6157 WAITING SPRING COURT
COLUMBIA MD 21045

Officer/Director/Trustee Three

ANNEMARIE HURSH
TRAINING COORDINATOR
20501 NEERWINDER STREET
GERMANTOWN MD 20874

Organization’s website WHITERAVENK9.ORG
Organization’s email WHITERAVENK9@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/4/2015
Organization Incorporation State WV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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
Signature Title
Signature Date

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