FORM 1023-EZ for FOREST PARK SOUTHEAST DOG PARK

Field Data
EIN 46-5755308
Case Number EO-2015131-000481
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOREST PARK SOUTHEAST DOG PARK
Organization’s Mailing Address 4512 MANCHESTER AVENUE SUITE 100
City SAINT LOUIS
State MO
ZIP 63110-2100
Accounting period End 12
Primary contact name ERICA IRWIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ERICA IRWIN
SECRETRARY
4409 GIBSON
SAINT LOUIS MO 63110-1613

Officer/Director/Trustee Two

GARY LONG
VICE PRESIDENT
4342 SWAN
SAINT LOUIS MO 63110-2128

Officer/Director/Trustee Three

AGNIESZKA MILCZAREK
TREASURER
4424 GIBSON
SAINT LOUIS MO 63110-1613

Officer/Director/Trustee Four

MELISSA LOGSDON
PRESIDENT
1054 SOUTH KINGSHIGHWAY
SAINT LOUIS MO 63110-1562

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/21/2014
Organization Incorporation State MO
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: 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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