FORM 1023-EZ for SERVICE DOG CONNECTION INC

Field Data
EIN 83-0924599
Case Number EO-2018171-000661
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SERVICE DOG CONNECTION INC
Organization’s Mailing Address 1202 LARRAWAY DRIVE
City BUFFALO GROVE
State IL
ZIP 60089
Accounting period End 12
Primary contact name PATRICIA FRAGEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA HARTMAN
PRESIDENT
1202 LARRAWAY DR
BUFFALO GROVE IL 60089

Officer/Director/Trustee Two

LYNNE EMERSON
SECRETARY
18 SACHEM STREET
BILLERICA IL 1821

Officer/Director/Trustee Three

PATRICIA FRAGEN
TREASURE
1318 BAYLOR CT
NAPERVILLE IL 60565

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/15
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D60 - Other Services - Specialty Animals
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 PATRICIA FRAGEN
Signature Title TREASURE
Signature Date 6/18/18

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