FORM 1023-EZ for DOGFACEK9S

Field Data
EIN 84-4774014
Case Number EO-2020283-000379
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOGFACEK9S
Organization’s Mailing Address 5804 FALMOUTH COURT
City WORTHINGTON
State OH
ZIP 43085
Accounting period End 12
Primary contact name THOMAS A VAN CLEEF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS VAN CLEEF
DIRECTOR
5804 FALMOUTH COURT
WORTHINGTON OH 43085

Officer/Director/Trustee Two

TIM YOUNG
DIRECTOR
342 SOUTHINGTON W
WORTHINGTON OH 43085-3815

Officer/Director/Trustee Three

LARRY CLARK
DIRECTOR
LIGHTSHINE ROAD
COLUMBUS OH 43235

Officer/Director/Trustee Four

DREW BOYCHUK
DIRECTOR
4552 SW OAKHAVEN LN
PALM CITY FL 34990

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/12/2018
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 Yes
Gaming Activity No
Disaster relief assistance Yes
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 LARRY CLARK
Signature Title DIRECTOR
Signature Date 10/7/2020

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