FORM 1023-EZ for ELKDOG MEDICINE INC

Field Data
EIN 83-0647833
Case Number EO-2018243-000212
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ELKDOG MEDICINE INC
Organization’s Mailing Address 3242 SE 32ND TER
City COLUMBUS
State KS
ZIP 66725
Accounting period End 12
Primary contact name TERRI L BIRCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TERRI BIRCH
PRESIDENT
3242 SE 32ND TER
COLUMBUS KS 66725

Officer/Director/Trustee Two

ASHLYN PARMLEY
SECRETARY
4750 S 630 ROAD
QUAPAW OK 74363

Officer/Director/Trustee Three

SUSAN JONES
TREASURER
477 SW QUAKER ROAD
COLUMBUS KS 66725

Officer/Director/Trustee Four

GRANT CLYDE
DIRECTOR OF LOGISTICS
3818 W CREEKSIDE COURT
SPRINGFIELD MO 65802

Organization’s website ELKDOGMEDICINE.COM
Organization’s email TERRIBIRCH@ELKDOGMEDICINE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/18
Organization Incorporation State KS
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
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 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 TERRI BIRCH
Signature Title PRESIDENT
Signature Date 8/29/18

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