FORM 1023-EZ for WILLOWS FAIRY WISH

Field Data
EIN 81-4837749
Case Number EO-2017026-000110
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WILLOWS FAIRY WISH
Organization’s Mailing Address 62 HASKELL RD
City WESPORT ISLAND
State ME
ZIP 04578
Accounting period End 12
Primary contact name JEFFREY LAUDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PEDRO GUIMARAES
PRESIDENT
62 HASKELL RD
WESTPORT ISLAND ME 04578

Officer/Director/Trustee Two

LINDA CHRISTIE
BOARD MEMBER
468 WHITE RD
BOWDOINHAM ME 04008

Officer/Director/Trustee Three

LOUISE JANELLE
SECRETARY
5 LORING DRIVE
WEST BATH ME 04530

Officer/Director/Trustee Four

WILLIAM AVANTAGGIO
BOARD MEMBER
1012 BISCAY ROAD
BREMEN ME 04551

Organization’s website HTTPS://WILLOWFAIRY.ORG
Organization’s email INFO@WILLOWFAIRY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/1/2016
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G30 - Cancer
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
Signature Title
Signature Date

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