FORM 1023-EZ for PAL WOW FAMILY FUN FESTIVAL INC

Field Data
EIN 47-1775893
Case Number EO-2014274-000215
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PAL WOW FAMILY FUN FESTIVAL INC
Organization’s Mailing Address PO BOX 11
City PALMYRA
State IN
ZIP 47164
Accounting period End 12
Primary contact name KERRY INGLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DOUG ROTHROCK
PRESIDENT, DIRECTOR
710 MAIN STREET
PALMYRA IN 47164

Officer/Director/Trustee Two

AMY BIRKLA
VICE PRESIDENT, DIRECTOR
710 MAIN STREET
PALMYRA IN 47164

Officer/Director/Trustee Three

JENNY KIRKHAM
TREASURER, DIRECTOR
710 MAIN STREET
PALMYRA IN 47164

Officer/Director/Trustee Four

BETH MOORE
SECRETARY, DIRECTOR
710 MAIN STREET
PALMYRA IN 47164

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/8/2014
Organization Incorporation State IN
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N52 - Fairs, County and Other
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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