FORM 1023-EZ for SAWYER COUNTY K9 LTD

Field Data
EIN 81-3723937
Case Number EO-2016246-000296
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SAWYER COUNTY K9 LTD
Organization’s Mailing Address PO BOX 567
City HAYWARD
State WI
ZIP 54843
Accounting period End 12
Primary contact name NICK ALMOGHRABI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NICHOLAS AL-MOGHRABI
PRESIDENT
15880 E 5TH STREET PO BOX 567
HAYWARD WI 54843

Officer/Director/Trustee Two

DENNIS NELSON
VICE PRESIDENT
15880 E 5TH STREET PO BOX 567
HAYWARD WI 54843

Officer/Director/Trustee Three

STEPHANIE POPLIN
SECRETARY
15880 E 5TH STREET PO BOX 567
HAYWARD WI 54843

Organization’s website
Organization’s email NICKA@SAWYERSHERIFF.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/31/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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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