FORM 1023-EZ for FRIENDS OF MAIZE MEMORIAL DOG PARK

Field Data
EIN 46-4916685
Case Number EO-2014287-000379
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF MAIZE MEMORIAL DOG PARK
Organization’s Mailing Address PO BOX 3295
City LEXINGTON
State OH
ZIP 44904
Accounting period End 12
Primary contact name LORI DILLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEMRIE ALONZO
CHAIR
1632 LEXINGTON AVE 37
MANSFIELD OH 44907

Officer/Director/Trustee Two

LINDA CARR
CO CHAIR
2070 LEXINGTON AVE
MANSFIELD OH 44907

Officer/Director/Trustee Three

KAREN LEEDOM
TREASURER
1784 WINDSOR ROAD
MANSFIELD OH 44905

Officer/Director/Trustee Four

LUANNE JOHNSON
SECRETARY
2670 KINGS CORNER RD E
LEXINGTON OH 44904

Officer/Director/Trustee Five

SHELLEY SEIFERT
COMMUNICATIONS COORDINATOR
481 STEWART LANE
MANSFIELD OH 44907

Organization’s website WWW.MAIZEMEMORIALDOGPARK.COM
Organization’s email INFO@MAIZEMEMORIALDOGPARK.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/25/2014
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
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 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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