FORM 1023-EZ for FALLBROOK DOG PARK COMMITTEE

Field Data
EIN 85-3938926
Case Number EO-2021089-001439
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FALLBROOK DOG PARK COMMITTEE
Organization’s Mailing Address 233 EAST MISSION ROAD
City FALLBROOK
State CA
ZIP 92028
Accounting period End 12
Primary contact name SAIGE HOEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NIENEKE HARDENBOL
PRESIDENT
1064 FUNQUEST DRIVE
FALLBROOK CA 92028

Officer/Director/Trustee Two

ANNE RICHTER
VICE PRESIDENT
2815 GOLFVIEW DRIVE
RAINBOW CA 92028

Officer/Director/Trustee Three

NEIL TREISTER
TREASURER
481 JANEMAR ROAD
FALLBROOK CA 92028

Officer/Director/Trustee Four

SAIGE HOEY
SECRETARY
233 EAST MISSION ROAD
FALLBROOK CA 92028

Officer/Director/Trustee Five

JOE COMELLA
DIRECTOR
5167 BERRYESSA STREET
OCEANSIDE CA 92056

Organization’s website www.liveoakdogpark.org
Organization’s email fallbrookpetparlor@outlook.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/17/2020
Organization Incorporation State CA
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SAIGE HOEY
Signature Title SECRETARY
Signature Date 2/15/2021

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