FORM 1023-EZ for DELAVAN FRIENDS OF THE PARK INC

Field Data
EIN 81-2134620
Case Number EO-2016102-000289
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DELAVAN FRIENDS OF THE PARK INC
Organization’s Mailing Address 221 INLET SHORE DRIVE
City DELAVAN
State WI
ZIP 53115
Accounting period End 12
Primary contact name BRIAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RYAN SIMONS
DIRECTOR/ PRESIDENT
2601 NORTH SHORE DRIVE
DELAVAN WI 53115

Officer/Director/Trustee Two

PATTI MARSICANO
DIRECTOR/ VICE PRESIDENT
221 INLET SHORE DRIVE
DELAVAN WI 53115

Officer/Director/Trustee Three

CHRIS MARSICANO
DIRECTOR/ SECRETARY/ TREASURER
221 INLET SHORE DRIVE
DELAVAN WI 53115

Officer/Director/Trustee Four

BRIAN WANASEK
ASSISTANT SECRETARY
133 SOUTH PINE STREET
BURLINGTON WI 53105

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/29/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N32 - Parks and Playgrounds
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 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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