FORM 1023-EZ for BARK THERAPY DOGS

Field Data
EIN 81-2297669
Case Number EO-2016112-000257
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BARK THERAPY DOGS
Organization’s Mailing Address 16 GALLANT FOX ROAD
City TINTON FALLS
State NJ
ZIP 07724
Accounting period End 12
Primary contact name GARY MERRILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GARY MERRILL
TRUSTEE
16 GALLANT FOX ROAD
TINTON FALLS NJ 07724

Officer/Director/Trustee Two

NANCY MERRILL
TRUSTEE
16 GALLANT FOX ROAD
TINTON FALLS NJ 07724

Officer/Director/Trustee Three

JANICE FIX
TRUSTEE
223 WESTMONT AVE
LAVALLETTE NJ 08735

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/2016
Organization Incorporation State NJ
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B92 - Remedial Reading, Reading Encouragement
Organization’s purpose Charitable: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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