FORM 1023-EZ for PAY IT FORWARD FOR KIDS - WALDO COUNTY

Field Data
EIN 83-2159533
Case Number EO-2018284-000088
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PAY IT FORWARD FOR KIDS - WALDO COUNTY
Organization’s Mailing Address 38 FAHY STREET
City BELFAST
State ME
ZIP 4915
Accounting period End 9
Primary contact name JENNIFER WENZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER WENZ
PRESIDENT
28 MAIN ST
SEARSPORT ME 4974

Officer/Director/Trustee Two

REGINA QUATTRUCCI
BOARD VP
38 FAHY ST
BELFAST ME 4915

Officer/Director/Trustee Three

PAM SCHULTZ
OFFICER
2253 SENNEBEC RD
APPLETON ME 4862

Organization’s website
Organization’s email PIFFKWALDO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/4/18
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name REGINA QUATTRUCCI
Signature Title BOARD VP
Signature Date 10/9/18

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