FORM 1023-EZ for MILDRED DUNHAM CONSERVANCY

Field Data
EIN 81-3852956
Case Number EO-2019248-000289
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MILDRED DUNHAM CONSERVANCY
Organization’s Mailing Address 723 NORTH STREET
City JAFFREY
State NH
ZIP 3452
Accounting period End 12
Primary contact name CINDY FOLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHY CROTEAU
PRESIDENT
4 LAKE ROAD
FITZWILLIAM NH 3447

Officer/Director/Trustee Two

CINDY FOLEY
TREASURER
PO BOX 58
JAFFREY NH 3452

Officer/Director/Trustee Three

RAY HASKELL
DIRECTOR
8 GILMORE POND ROAD
JAFFREY NH 3452

Officer/Director/Trustee Four

JOHN MEINSMA
DIRECTOR
PO BOX 293
JAFFREY NH 3452

Officer/Director/Trustee Five

MARTY KULLA
DIRECTOR
28 KULLA DRIVE PO BOX 662
RINDGE NH 3461

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/16
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C34 - Land Resources Conservation
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CINDY FOLEY
Signature Title TREASURER
Signature Date 9/3/19
EIN 81-3852956
Case Number EO-2016263-000255
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MILDRED DUNHAM CONSERVANCY
Organization’s Mailing Address PO BOX 197
City RINDGE
State NH
ZIP 03461
Accounting period End 12
Primary contact name KATHY CROTEAU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHY CROTEAU
PRESIDENT
4 LAKE ROAD
FITZWILLIAM NH 03447

Officer/Director/Trustee Two

RAY HASKELL
SECRETARY
8 GILLMORE POND ROAD
JAFFREY NH 03452

Officer/Director/Trustee Three

CINDY FOLEY
TREASURER
PO BOX 58
JAFFREY NH 03452

Officer/Director/Trustee Four

JOHN MEINSMA
DIRECTOR
PO BOX 293
JAFFREY NH 03452

Officer/Director/Trustee Five

MARTY KULLA
DIRECTOR
28 KULLA DRIVE
RINDGE NH 03461

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/2016
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C34 - Land Resources Conservation
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
Signature Title
Signature Date

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