FORM 1023-EZ for PAWSITIVE PAC SERVICE DOGS

Field Data
EIN 87-2847647
Case Number EO-2021274-000144
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PAWSITIVE PAC SERVICE DOGS
Organization’s Mailing Address 4109 S ROME ST
City AURORA
State CO
ZIP 80018
Accounting period End 9
Primary contact name KEITH CASSELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH CASSELL
PRESIDENT
4109 S ROME ST
AURORA CO 80018

Officer/Director/Trustee Two

GENESEE EDKINS
VICE PRESIDENT
4109 S ROME ST
AURORA CO 80018

Officer/Director/Trustee Three

ADRIAN PERALES
DIRECTOR
4109 S ROME ST
AURORA CO 80018

Organization’s website
Organization’s email PAWSITIVEPACSERVICEDOGS@OUTLOOK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/2021
Organization Incorporation State CO
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D61 - Animal Training, Behavior
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 KEITH CASSELL
Signature Title PRESIDENT
Signature Date 9/29/2021

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