FORM 1023-EZ for TOP DOG PARK INC

Field Data
EIN 47-3910950
Case Number EO-2015146-000170
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TOP DOG PARK INC
Organization’s Mailing Address 609 CARNEY BLVD
City MARINETTE
State WI
ZIP 54143
Accounting period End 12
Primary contact name JERRY HANSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JERRY HANSEN
PRESIDENT
609 CARNEY BLVD
MARINETTE WI 54143

Officer/Director/Trustee Two

JUSTINE BEARDSLEY
VISE PRESIDENT
1528 GARFIELD AVE
MARINETTE WI 54143

Officer/Director/Trustee Three

LISA MARTIN
SECRETARY
N3070 RIVER BEND DR
PESHTIGO WI 54157

Officer/Director/Trustee Four

BRIGITTE SCHMIDT
TREASUER
451 OCONTO AVE
PESHTIGO WI 54157

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/21/2015
Organization Incorporation State WI
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 No
One Third Support Gifts Yes
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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