FORM 1023-EZ for YORKTOWN COMMUNITY DOG PARK INC

Field Data
EIN 26-2331447
Case Number EO-2016139-000303
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YORKTOWN COMMUNITY DOG PARK INC
Organization’s Mailing Address PO BOX 391
City YORKTOWN HEIGHTS
State NY
ZIP 10598
Accounting period End 2
Primary contact name MICHAEL MOROKNEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARYELLEN HOWARD
SEC
35 BRIAR LN
CROMPOND NY 10517

Officer/Director/Trustee Two

JENNIFER KEMPER
CO CHAIR
1905 HUNTERBROOK RD
YORKTOWN HEIGHTS NY 10598

Officer/Director/Trustee Three

MICHAEL MOROKNEK
TREAS
3044 GRANT AVE
MOHEGAN LAKE NY 10547

Officer/Director/Trustee Four

DREW KORN
CO CHAIR
208 HALYAN RD
YORKTOWN NY 10598

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/2008
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D99 - Animal-Related N.E.C.
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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