FORM 1023-EZ for FRIENDS OF THE TIFFIN BARK PARK

Field Data
EIN 46-1485093
Case Number EO-2015243-000196
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF THE TIFFIN BARK PARK
Organization’s Mailing Address 870 W MARKET ST SUITE 69
City TIFFIN
State OH
ZIP 44883-2570
Accounting period End 12
Primary contact name JAMIE PURSELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEITH HODKINSON
PRESIDENT
206 GROSS ST
TIFFIN OH 44883

Officer/Director/Trustee Two

LOUISE ZOELLER
VICE PRESIDENT
107 OAKBRIDGE PARK
TIFFIN OH 44883

Officer/Director/Trustee Three

CATHY ERVIN
SECRETARY
151 GOLFVIEW DR
TIFFIN OH 44883

Officer/Director/Trustee Four

JAMIE PURSELL
TREASURER
4084 S STATE ROUTE 231
TIFFIN OH 44883

Organization’s website WWW.TIFFINBARKPARK.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/3/2012
Organization Incorporation State OH
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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