FORM 1023-EZ for FRIENDS OF MEDINA DOG PARK INC

Field Data
EIN 82-5052439
Case Number EO-2018113-000457
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF MEDINA DOG PARK INC
Organization’s Mailing Address 818 WEST CENTER STREET
City MEDINA
State NY
ZIP 14103-1038
Accounting period End 12
Primary contact name LISA WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALAINA WILSON
PRESIDENT
358 SOUTH AVENUE
MEDINA NY 14103

Officer/Director/Trustee Two

CYNTHIA DAVIS
VICE-PRESIDENT
932 ORIENT STREET
MEDINA NY 14103

Officer/Director/Trustee Three

LISA WILSON
TREASURER
818 WEST CENTER STREET
MEDINA NY 14103-1038

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/9/18
Organization Incorporation State NY
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LISA WILSON
Signature Title TREASURER
Signature Date 4/19/18

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