FORM 1023-EZ for GOFFSTOWN DOG PARK ASSOCIATION

Field Data
EIN 83-1017812
Case Number EO-2018178-000435
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GOFFSTOWN DOG PARK ASSOCIATION
Organization’s Mailing Address 22 GORHAM POND RD
City GOFFSTOWN
State NH
ZIP 3045
Accounting period End 7
Primary contact name PAM DECKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAM DECKER
MEMBER
22 GORHAM POND RD
GOFFSTOWN NH 3045

Officer/Director/Trustee Two

TARA STETSON
MEMBER
119 LESNYK RD
GOFFSTOWN NH 3045

Officer/Director/Trustee Three

KAREN HEWES
MEMBER
106 LESNYK RD
GOFFSTOWN NH 3045

Officer/Director/Trustee Four

ANNE MOUSSEAU
MEMBER
92 HENRY BRIDGE RD
GOFFSTOWN NH 3045

Officer/Director/Trustee Five

ALAN HALPERN
MEMBER
111 HEATHER HILL LN
GOFFSTOWN NH 3045

Organization’s website HTTPS://WWW.FACEBOOK.COM/SUPPORTERS-OF-THE-GOFFSTOWN-DOG-PARK-1882353165121241/
Organization’s email GOFFSTOWNDOGPARKASSOCIATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/25/18
Organization Incorporation State NH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 PAM DECKER
Signature Title MEMBER
Signature Date 6/25/18

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