FORM 1023-EZ for BLAKDOG FOUNDATION

Field Data
EIN 85-3051478
Case Number EO-2020304-000305
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BLAKDOG FOUNDATION
Organization’s Mailing Address 11719 258TH AVENUE E
City BUCKLEY
State WA
ZIP 98321
Accounting period End 12
Primary contact name JEFFREY STILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFREY STILL
PRES/TRES/SECT/FOUNDER
11719 258TH AVENUE E
BUCKLEY WA 98321

Officer/Director/Trustee Two

KATE MECKLER
DIRECTOR
11719 258TH AVENUE E
BUCKLEY WA 98321

Officer/Director/Trustee Three

KAREN SWARTZ
DIRECTOR
906 BLACKBIRD GREENSPRING RD
SMYRNA DE 19977

Organization’s website
Organization’s email BLAKDOG1978@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/2020
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D61 - Animal Training, Behavior
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 Yes
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 JEFFREY STILL
Signature Title PRES/TRES/SECT/FOUNDER
Signature Date 10/28/2020

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