FORM 1023-EZ for SLY BROOK ADVENTURES INC

Field Data
EIN 83-3348684
Case Number EO-2019135-000041
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SLY BROOK ADVENTURES INC
Organization’s Mailing Address 1695 SLY BROOK ROAD
City EAGLE LAKE
State ME
ZIP 4739
Accounting period End 12
Primary contact name MARION LUGDON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JESSE PETTENGILL
PRESIDENT
1380 AROOSTOOK ROAD
WALLAGRASS ME 4781

Officer/Director/Trustee Two

COURTNEY BOSSIE
VICE-PRESIDENT
29 PAISLEY LANE
NEW CANADA ME 4743

Officer/Director/Trustee Three

EDGAR LUGDON
TREASURER
1695 SLY BROOK ROAD
EAGLE LAKE ME 4739

Officer/Director/Trustee Four

DIANA WHITE
SECRETARY
3502E RESERVE CIRCLE
MONTGOMERY AL 36116

Officer/Director/Trustee Five

SHANNON LUGDON
DIRECTOR
1380 AROOSTOOK ROAD
WALLAGRASS ME 4781

Organization’s website
Organization’s email SLYBROOKADVENTURES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/16/19
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C60 - Environmental Education and Outdoor Survival Programs
Organization’s purpose Charitable: Yes
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 EDGAR LUGDON
Signature Title TREASURER
Signature Date 5/11/19

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