FORM 1023-EZ for MAINE GAME WARDEN FOUNDATION

Field Data
EIN 46-5269750
Case Number EO-2018253-000273
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MAINE GAME WARDEN FOUNDATION
Organization’s Mailing Address 771 BOOTHBAY ROAD
City EDGECOMB
State ME
ZIP 4556-3312
Accounting period End 12
Primary contact name D KELLEY YOUNG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK WARREN
PRESIDENT AND DIRECTOR
771 BOOTHBAY ROAD
EDGECOMB ME 4556-3312

Officer/Director/Trustee Two

DANIEL CARROLL
VICE PRESIDENT AND DIRECTOR
32 MOULTON HILL ROAD
SEBEC ME 4481-3140

Officer/Director/Trustee Three

MICHAEL PRATT
TREASURER AND DIRECTOR
225 CENTER HILL ROAD
WELD ME 4285-3215

Officer/Director/Trustee Four

DAVE PEPPARD
SECRETARY AND DIRECTOR
376 JARVIS GORE ROAD
EDDINGTON ME 4428-3410

Officer/Director/Trustee Five

JAMES DAVIS
DIRECTOR
9 GREEN STREET
AUGUSTA ME 4330-7451

Organization’s website
Organization’s email MAINEGAMEWARDENFOUNDATION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/27/14
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T20 - Private Grantmaking Foundations
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARK WARREN
Signature Title PRESIDENT AND DIRECTOR
Signature Date 9/6/18

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