FORM 1023-EZ for AN ANGELS WING INC

Field Data
EIN 82-1657480
Case Number EO-2017163-000440
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AN ANGELS WING INC
Organization’s Mailing Address 721 POLAND ROAD
City AUBURN
State ME
ZIP 04210
Accounting period End 12
Primary contact name DEBRA YORK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEBRA YORK
PRESIDENT/CEO
721 POLAND ROAD
AUBURN ME 04210

Officer/Director/Trustee Two

PEGGY OUELLETTE
VICE PRESIDENT
12 PINEBROOK LANE
PORTLAND ME 04102

Officer/Director/Trustee Three

CLARICE PROCTOR
TREASURER/CFO
16 PAGOMA
LEWISTON ME 04240

Officer/Director/Trustee Four

DORENE LANG
SECRETARY
42 CORNELIUSEN LANE
NORWAY ME 04268

Officer/Director/Trustee Five

MELISSA FERNALD
BOARD MEMBER
PO BOX 1464
WOLFEBORO NH 03894

Organization’s website WWW.ANANGELSWING.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/22/2017
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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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