FORM 1023-EZ for FRIENDS OF GLOUCESTER DOG PARK

Field Data
EIN 46-1566135
Case Number EO-2015362-000071
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF GLOUCESTER DOG PARK
Organization’s Mailing Address 24 HOUGH AVENUE
City GLOUCESTER
State MA
ZIP 01930
Accounting period End 6
Primary contact name ROBIN CROCKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBIN CROCKER
CHAIRMAN
20 R SOUTH STREET
ROCKPORT MA 01966

Officer/Director/Trustee Two

THOMAS SCHAUER
TREASURER
302 COBBLESTONE LANE
GLOUCESTER MA 01930

Officer/Director/Trustee Three

CYNTHIA LAWRY
SECRETARY
2 MAYFLOWER LANE
GLOUCESTER MA 01930

Organization’s website HTTP://WWW.GLOUCESTERDOGPARK.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/22/2011
Organization Incorporation State MA
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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