FORM 1023-EZ for DOGS OF WORT INC

Field Data
EIN 83-3430405
Case Number EO-2019039-000702
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOGS OF WORT INC
Organization’s Mailing Address 2752 CROMPOND RD
City YORKTOWN HEIGHTS
State NY
ZIP 10598
Accounting period End 12
Primary contact name CAITLIN ODONNELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAITLIN ODONNELL
DIRECTOR
2752 CROMPOND RD
YORKTOWN HEIGHTS NY 10598

Officer/Director/Trustee Two

PHIL CLARKE JR
DIRECTOR
3176 DECATUR AVE APT 2F
BRONX NY 10467

Officer/Director/Trustee Three

RALPH BRUTUS
DIRECTOR
446 ROSE LN
ROCKVILLE CENTER NY 11570

Organization’s website DOGSOFWORT.COM
Organization’s email DOGSOFWORT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/3/19
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 -
Organization’s purpose Charitable: No
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 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 CAITLIN ODONNELL
Signature Title DIRECTOR
Signature Date 2/5/19

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