FORM 1023-EZ for SEBASTICOOK CHAPTER OF THE NORTH AMERICAN VERSATILE HUNTING DOG ASSOC

Field Data
EIN 10-0521330
Case Number EO-2016335-000276
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SEBASTICOOK CHAPTER OF THE NORTH AMERICAN VERSATILE HUNTING DOG ASSOC
Organization’s Mailing Address 87 NORTH MAIN STREET
City MECHANIC FALLS
State ME
ZIP 04256
Accounting period End 12
Primary contact name MARY DENISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW DOAK
PRESIDENT
37 HOWARD ROAD
BELMONT ME 04952

Officer/Director/Trustee Two

CORY ALEXANDER
VICE PRESIDENT
PO BOX 538
FAIRFIELD ME 04937

Officer/Director/Trustee Three

PETER DUMOND
TREASURER
87 NORTH MAIN STREET
MECHANIC FALLS ME 04256

Officer/Director/Trustee Four

VICTORIA THERIAULT
SECRETARY
PO BOX 538
FAIRFIELD ME 04937

Officer/Director/Trustee Five

ROBERT ENGLAND
DIRECTOR
39A FELDSPAR LANE
WARREN ME 04864

Organization’s website WWW.SEBASTICOOK.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/2/2015
Organization Incorporation State ME
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: 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 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
Signature Title
Signature Date

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