FORM 1023-EZ for INTERNATIONAL CASINO & RESORT WORKING DOG ASSOCIATION

Field Data
EIN 85-2983093
Case Number EO-2021224-000179
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INTERNATIONAL CASINO & RESORT WORKING DOG ASSOCIATION
Organization’s Mailing Address PO BOX 371742
City LAS VEGAS
State NV
ZIP 89137
Accounting period End 12
Primary contact name RYAN MILLBERN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN MILLBERN
PRES&TREAS&SECT&EXECDIRT
PO BOX 371742
LAS VEGAS NV 89137

Officer/Director/Trustee Two

STEVE MARTINEZ
VICE PRESIDENT
8209 FRITZEN AVE
LAS VEGAS NV 89131

Organization’s website WWW.ICRWDA.ORG
Organization’s email INFO@ICRWDA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/2020
Organization Incorporation State NV
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States Yes
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 RYAN MILLBERN
Signature Title PRES&TREAS&SECT&EXECDIRT
Signature Date 8/10/2021

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