FORM 1023-EZ for PAWTUCKAWAY LAKE IMPROVEMENT ASSOCIATION

Field Data
EIN 20-0451995
Case Number EO-2015231-000249
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PAWTUCKAWAY LAKE IMPROVEMENT ASSOCIATION
Organization’s Mailing Address PO BOX 30
City RAYMOND
State NH
ZIP 03077
Accounting period End 5
Primary contact name EDWARD KOTOWSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THOMAS DUFFY
PRESIDENT
1 VERANI WAY
LONDONDERRY NH 03053

Officer/Director/Trustee Two

JOHN DECKER
VICE PRESIDENT
11 LAKEVIEW DRIVE
NOTTINGHAM NH 03290

Officer/Director/Trustee Three

PAMELA KELLY
SECRETARY
35 SACHS ROAD
NOTTINGHAM NH 03290

Officer/Director/Trustee Four

EDWARD KOTOWSKI
TREASURER
14 INDIAN RUN
NOTTINGHAM NH 03290

Officer/Director/Trustee Five

DENNIS LUCIA
DIRECTOR
9 LAKEVIEW DRIVE
NOTTINGHAM NH 03290

Organization’s website WWW.PAWTUCKAWAYLAKE.COM
Organization’s email EDK73NH@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/1991
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C32 - Water Resource, Wetlands Conservation and Management
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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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