FORM 1023-EZ for GREAT ISLAND 5K

Field Data
EIN 84-2774387
Case Number EO-2020321-000141
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GREAT ISLAND 5K
Organization’s Mailing Address PO BOX 833 23 MAIN STREET
City NEW CASTLE
State NH
ZIP 03854
Accounting period End 12
Primary contact name TODD BAKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TODD BAKER
DIRECTOR
23 MAIN STREET
NEW CASTLE NH 03854

Officer/Director/Trustee Two

GUY STEARNS
DIRECTOR
22 LAVENGERS LANE
NEW CASTLE NH 03854

Officer/Director/Trustee Three

THOMAS MAHER
DIRECTOR
90 MAIN MAST CIRCLE
NEW CASTLE NH 03854

Officer/Director/Trustee Four

STEVEN POULIN
DIRECTOR
97 ABIGALE LANE
NEW CASTLE NH 03854

Officer/Director/Trustee Five

HEATHER JENKINS
DIRECTOR
33 KENT STREET
PORTSMOUTH NH 03801

Organization’s website www.greatisland5k.org
Organization’s email greatisland5k2020@comcast.net
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/2019
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N30 - Physical Fitness and Community Recreational Facilities
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 TODD BAKER
Signature Title DIRECTOR
Signature Date 11/11/2020

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