FORM 1023-EZ for FRIENDS OF SOUTH COUNTY DOG PARK INC

Field Data
EIN 81-2162730
Case Number EO-2016124-000174
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF SOUTH COUNTY DOG PARK INC
Organization’s Mailing Address 1532 PONTER RIDGE PL STE I
City BOWIE
State MD
ZIP 20716
Accounting period End 12
Primary contact name VAL LYNCH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARILYN BAKER
PRESIDENT AND DIRECTOR
5507 ILCHESTER ST
CHURCHTON MD 20733

Officer/Director/Trustee Two

KATHY FISHER
SECRETARY AND DIRECTOR
5507 ILCHESTER ST
CHURCHTON MD 20733

Officer/Director/Trustee Three

HEATHER MARSH
VICE PRESIDENT AND DIRECTOR
5507 ILCHESTER ST
CHURCHTON MD 20733

Officer/Director/Trustee Four

MELISSA MEDICK
DIRECTOR
5507 ILCHESTER ST
CHURCHTON MD 20733

Officer/Director/Trustee Five

AMY REILY
DIRECTOR
5507 ILCHESTER ST
CHURCHTON MD 20733

Organization’s website WWW.SOUTHCOUNTYDOGPARK.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/11/2016
Organization Incorporation State MD
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: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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