FORM 1023-EZ for CALERA BARK PARK

Field Data
EIN 83-3127801
Case Number EO-2019039-000571
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CALERA BARK PARK
Organization’s Mailing Address 5920 SMOKEY ROAD
City CALERA
State AL
ZIP 35040-4856
Accounting period End 12
Primary contact name MICHAEL WYLIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE BLACKSTON
DIRECTOR
5204 SMOKEY RD
CALERA AL 35040

Officer/Director/Trustee Two

JACOB FERGUSON
DIRECTOR
5204 SMOKEY ROAD
CALERA AL 35040

Officer/Director/Trustee Three

MICHAEL WYLIE
PRESIDENT
5204 SMOKEY ROAD
CALERA AL 35040-4856

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/14/18
Organization Incorporation State AL
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 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 MICHAEL WYLIE
Signature Title PRESIDENT
Signature Date 2/4/19

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