FORM 1023-EZ for FOREST PARK ACTION COUNCIL INC

Field Data
EIN 81-4589405
Case Number EO-2017019-000305
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOREST PARK ACTION COUNCIL INC
Organization’s Mailing Address PO BOX 11932
City BALTIMORE
State MD
ZIP 21207
Accounting period End 12
Primary contact name PETER E AUCHINCLOSS - PRESIDENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PETER AUCHINCLOSS
PRESIDENT - BOARD CHAIRMAN
2427 PICKWICK ROAD
BALTIMORE MD 21207

Officer/Director/Trustee Two

WALTER AUGUSTIN
TREASURER
2200 KERNAN DRIVE
BALTIMORE MD 21207

Officer/Director/Trustee Three

REV JENNIFER BARCHI
SECRETARY - DIRECTOR
5112 WETHEREDSVILLE ROAD
BALTIMORE MD 21207

Officer/Director/Trustee Four

JACK AMOS
DIRECTOR
2700 LOCH RAVEN RD SUITE 200
BALTIMORE MD 21218

Officer/Director/Trustee Five

CYNTHIA KELLEHER
DIRECTOR
2200 KERNAN DRIVE
BALTIMORE MD 21207

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/5/2016
Organization Incorporation State MD
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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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