FORM 1023-EZ for MY DOG IS MY ROCK FOUNDATION

Field Data
EIN 84-2665255
Case Number EO-2020265-000657
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MY DOG IS MY ROCK FOUNDATION
Organization’s Mailing Address 16016 BAKER CANYON RD
City SANTA CLARITA
State CA
ZIP 91390
Accounting period End 12
Primary contact name TRACEY MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACEY MILLER
PRESIDENT/DIRECTOR
48 KETTERING DR
BUFFALO NY 14223

Officer/Director/Trustee Two

LISA KATZ
TREASURER
7616 WILLOW GLEN RD
LOS ANGELES CA 90046

Officer/Director/Trustee Three

PAIGE LONG
SECRETARY
12313 HATTERAS ST
NORTH HOLLYWOOD CA 91607

Officer/Director/Trustee Four

EMILY ROACH
DIRECTOR
16016 BAKER CANYON RD
SANTA CLARITA CA 91390

Officer/Director/Trustee Five

ELIZABETH BRANDON
DIRECTOR
11147 HORTENSE ST
TOLUCA LAKE CA 91602

Organization’s website WWW.MYDOGISMYROCK.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/2018
Organization Incorporation State CA
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 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 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 TRACEY MILLER
Signature Title PRESIDENT/DIRECTOR
Signature Date 9/18/2020

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