FORM 1023-EZ for FRIENDS OF THE MOOSEHON

Field Data
EIN 47-0912315
Case Number EO-2017318-000221
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF THE MOOSEHON
Organization’s Mailing Address 103 HEADQUARTERS ROAD SUITE 1
City BARING
State ME
ZIP 04694
Accounting period End 12
Primary contact name BETH KLADIVKO MILLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRED GRALENSKI
PRESIDENT
857 LEIGHTON POINT ROAD
PEMBROKE ME 04666

Officer/Director/Trustee Two

ERIC MAURICETTE
VICE-PRESIDENT
23 WATER STREET
GRAND LAKE STREAM ME 04668

Officer/Director/Trustee Three

BETH KLADIVKO MILLS
TREASURER
91 MAIN STREET
DENNYSVILLE ME 04628

Officer/Director/Trustee Four

WILLIAM KOLODNICKI
SECRETARY
WEST STREET
PRINCETON ME 04668

Officer/Director/Trustee Five

GINNIE STEVENS
BOARD MEMBER
215 OLD COUNTY ROAD
PEMBROKE ME 04666

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/2/2003
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D34 - Wildlife Sanctuary, Refuge
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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