FORM 1023-EZ for MK9S SERVICE DOGS

Field Data
EIN 84-1899696
Case Number EO-2019154-000580
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MK9S SERVICE DOGS
Organization’s Mailing Address 2621 OAKTON GLEN DRIVE
City VIENNA
State VA
ZIP 22181-5344
Accounting period End 12
Primary contact name CURTIS KHOL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELE KHOL
PRESIDENT
2621 OAKTON GLEN DRIVE
VIENNA VA 22181-5344

Officer/Director/Trustee Two

CURTIS KHOL
TREASURER
2621 OAKTON GLEN DRIVE
VIENNA VA 22181-5344

Officer/Director/Trustee Three

JUNE HARPER
SECRETARY
2918 BREE HILL ROAD
OAKTON VA 22124-1212

Officer/Director/Trustee Four

JODY CRACCO
DIRECTOR
7 GREENWOOD ROAD
LAKE GEORGE NY 12845-3414

Officer/Director/Trustee Five

DONNA KROCHAK
DIRECTOR
168 WEST BAY CEDAR CIRCLE
JUPITER FL 33458-7122

Organization’s website WWW.MK9SERVICEDOGS.ORG
Organization’s email MK9SERVICEDOGS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/28/19
Organization Incorporation State VA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D99 - Animal-Related N.E.C.
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 CURTIS KHOL
Signature Title TREASURER
Signature Date 6/1/19

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