FORM 1023-EZ for CANINE CHAMPIONS FOR VETERNS INC

Field Data
EIN 81-1712840
Case Number EO-2021244-000351
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CANINE CHAMPIONS FOR VETERNS INC
Organization’s Mailing Address PO BOX 3080
City POCATELLO
State ID
ZIP 83206-3080
Accounting period End 12
Primary contact name TIM SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAUREN ALEXANDER
PRESIDENT
1777 E CLARK ST 110
POCATELLO ID 83201

Officer/Director/Trustee Two

JOHN ALEXANDER
BOARD MEMBER
1777 E CLARK ST 110
POCATELLO ID 83201

Officer/Director/Trustee Three

CESAR SALGADO
BOARD MEMBER
1777 E CLARK ST 110
POCATELLO ID 83201

Officer/Director/Trustee Four

TIM SMITH
CFO
725 SOUTH WOODRUFF AVE
IDAHO FALLS ID 83401

Organization’s website CC4V.ORG
Organization’s email INFO@CC4V.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/2016
Organization Incorporation State ID
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F12 - 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TIM SMITH
Signature Title CFO
Signature Date 8/30/2021

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