FORM 1023-EZ for WADSWORTH COMMUNITY DOG PARK ASSOCIATION

Field Data
EIN 47-3351649
Case Number EO-2017290-000215
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WADSWORTH COMMUNITY DOG PARK ASSOCIATION
Organization’s Mailing Address PO BOX 216
City WADSWORTH
State OH
ZIP 44282
Accounting period End 12
Primary contact name STEPHANIE GOWIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RONI LEATHERMAN
PRESIDENT
180 E WALNUT
WADSWORTH OH 44281

Officer/Director/Trustee Two

DANE ARENDS
VICE PRESIDENT
825 BROAD STREET
WADSWORTH OH 44281

Officer/Director/Trustee Three

ROBERT ANDREWS
TREASURER
386 TULIP TRAIL
WADSWORTH OH 44281

Officer/Director/Trustee Four

LINDA WARNER
SECRETARY
1324 FIELDCREST DRIVE
WADSWORTH OH 44281

Organization’s website WWW.WADSWORTHDOGPARK.COM
Organization’s email WADSWORTHBARKPARK@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/22/2017
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D60 - Other Services - Specialty Animals
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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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