FORM 1023-EZ for FRIENDS OF LITCHFIELD DOG PARK INC

Field Data
EIN 82-5431743
Case Number EO-2018137-000502
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF LITCHFIELD DOG PARK INC
Organization’s Mailing Address 7 BROOK HILL RD
City LITCHFIELD
State CT
ZIP 6759
Accounting period End 12
Primary contact name ROSE BLONDIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROSE BLONDIN
PRESIDENT
7 BROOK HILL RD
LITCHFIELD CT 6759

Officer/Director/Trustee Two

MICHAEL SHEA
TREASURER
7 BROOK HILL RD
LITCHFIELD CT 6759

Officer/Director/Trustee Three

MATTHEW BLONDIN
SECRETARY
49 NORFOLK RD
LITCHFIELD CT 6759

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/2/18
Organization Incorporation State CT
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: Yes
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 ROSE BLONDIN
Signature Title PRESIDENT
Signature Date 5/4/18

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