FORM 1023-EZ for PINE TREE GUIDE DOG USERS

Field Data
EIN 83-0939346
Case Number EO-2018234-000054
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PINE TREE GUIDE DOG USERS
Organization’s Mailing Address 154 SEWALL STREET
City AUGUSTA
State ME
ZIP 4330-6919
Accounting period End 12
Primary contact name PAULINE LAMONTAGNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAULINE LAMONTAGNE
PRESIDENT
154 SEWALL STREET
AUGUSTA ME 4330-6916

Officer/Director/Trustee Two

LYNN MERRILL
FIRST VICE-PRESIDENT
12 COLLEGE STREET
AUGUSTA ME 4330-6502

Officer/Director/Trustee Three

GILBERT WHITMORE
SECOND VICE-PRESIDENT
154 SEWALL STREET
AUGUSTA ME 4330-6919

Officer/Director/Trustee Four

CHERYL PEABODY
TREASURER
6 LEE STREET
WINSLOW ME 4901-7261

Officer/Director/Trustee Five

BRUCE PRINDALL
SECRETARY
23 SEWALL STREET
AUGUSTA ME 4330-5546

Organization’s website HTTP://WWW.ELLSWORTHME.ORG/PINETREE
Organization’s email PTGDU2013@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/17
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R99 - Civil Rights, Social Action, Advocacy N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence Yes
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 Yes
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PAULINE LAMONTAGNE
Signature Title PRESIDENT
Signature Date 8/18/18

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