FORM 1023-EZ for KEVIN PEARE MEMORIAL SKATE PARK

Field Data
EIN 86-2312442
Case Number EO-2021097-001435
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KEVIN PEARE MEMORIAL SKATE PARK
Organization’s Mailing Address 210 HOBBS STREET BOX 210
City CONWAY
State NH
ZIP 03818
Accounting period End 12
Primary contact name ANNA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANNA PEARE
ASSISTANT DIRECTOR /TREASURER
218 HOBBS STREET PO BOX 35
CONWAY NH 03818

Officer/Director/Trustee Two

CAREN PEARE WIGGIN
DIRECTOR
419 ROLLING RIDGE ROAD PO BOX 664
GLEN NH 03838

Officer/Director/Trustee Three

ERIN RUSSELL
COMMITTEE CHAIR
125 FAIRVIEW AVE
CONWAY NH 03818

Officer/Director/Trustee Four

AMY MULLIGAN
COMMITTEE MEMBER
26 ALBANY AVE PO BOX 110
BARTLETT NH 03812

Officer/Director/Trustee Five

RUSSELL WITT
COMMITTEE MEMBER
181 MOUNTAIN VIEW DRIVE
CONWAY NH 03818

Organization’s website WWW.GOSKATE4KEV.COM
Organization’s email GOSKATE4KEV@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/17/2021
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N32 - Parks and Playgrounds
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 Yes
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 ANNA PEARE
Signature Title ASSISTANT DIRECTOR /TREASURER
Signature Date 3/16/2021

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