FORM 1023-EZ for GWALTNEY MEMORIAL PARK INC

Field Data
EIN 27-4001058
Case Number EO-2019036-000885
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GWALTNEY MEMORIAL PARK INC
Organization’s Mailing Address 4351 W COUNTY ROAD 785 N
City BOONVILLE
State IN
ZIP 47601
Accounting period End 12
Primary contact name BETTY DOUGLAS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROB STEPHENS
PRESIDENT
5109 N ORCHARD ROAD
RICHLAND IN 47634

Officer/Director/Trustee Two

BETTY DOUGLAS
SECRETARY-TREASURER
4351 W COUNTY ROAD 785 N
BOONVILLE IN 47601

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/17
Organization Incorporation State IN
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: 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 BETTY DOUGLAS
Signature Title SECRETARY-TREASURER
Signature Date 1/21/19

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