FORM 1023-EZ for US DISC DOG NATIONALS

Field Data
EIN 83-1170745
Case Number EO-2019072-000335
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name US DISC DOG NATIONALS
Organization’s Mailing Address 230 NH ROUTE 175
City HOLDERNESS
State NH
ZIP 3245
Accounting period End 12
Primary contact name DEBORAH MARDIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBORAH MARDIN
CHAMPIONSHIP COORDINATOR
230 NH ROUTE 175
HOLDERNESS NH 3245

Officer/Director/Trustee Two

APRYL VENNER
INTERNATIONAL JUDGING DIRECTOR
5686 BLAINE SE
KENTWOOD MI 48508

Officer/Director/Trustee Three

TRACY CUSTER
PROMOTIONS COORDINATOR
263 OLD HIGHWAY 100
VILLA RIDGE MO 63089

Officer/Director/Trustee Four

PATRICIA NADARAJAH
CHAIRPERSON
1926 CRESMONT PLACET
ORLEANS ONTARIO CA

Organization’s website WWW.USDDN.COM
Organization’s email DMARDINUSDDN@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/2/19
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 DEBORAH MARDIN
Signature Title CHAMPIONSHIP COORDINATOR
Signature Date 3/10/19

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