FORM 1023-EZ for NORTHWEST DOG PROJECT

Field Data
EIN 47-1929063
Case Number EO-2015120-000297
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHWEST DOG PROJECT
Organization’s Mailing Address 30764 KOINONIA ROAD
City EUGENE
State OR
ZIP 97405
Accounting period End 12
Primary contact name DAVID ATKIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ALAINE OWENS
PRESIDENT
1080 POLK STREET
EUGENE OR 97402

Officer/Director/Trustee Two

JACOB BILLINGS
TREASURER
1080 POLK STREET
EUGENE OR 97402

Officer/Director/Trustee Three

KELSEY CARD
SECRETARY
2673 VERDEHILLE DRIVE
EUGENE OR 97403

Officer/Director/Trustee Four

EMMA SCOTT
DIRECTOR
30764 KOINONIA ROAD
EUGENE OR 97405

Officer/Director/Trustee Five

SALLY RONEY
DIRECTOR
2114 GOLDEN GARDENS STREET
EUGENE OR 97402

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/2014
Organization Incorporation State OR
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: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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
Signature Title
Signature Date

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