FORM 1023-EZ for FRIENDS OF PAUL M GRIST STATE PARK

Field Data
EIN 81-1851165
Case Number EO-2016104-000015
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF PAUL M GRIST STATE PARK
Organization’s Mailing Address 10422 COUNTY ROAD 16
City MAPLESVILLE
State AL
ZIP 36750
Accounting period End 12
Primary contact name ANITA D ELLISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANITA ELLISON
PRESIDENT
10422 COUNTY ROAD 16
MAPLESVILLE AL 36750

Officer/Director/Trustee Two

DARRELL PUGH
VICE PRESIDENT
121 JACQELINE DRIVE
VALLEY GRANDE AL 36701

Officer/Director/Trustee Three

MELANIE MITCHELL
SECRETARY TREASURER
305 COUNTY ROAD 848
SELMA AL 36701

Organization’s website
Organization’s email HORSELADY81295@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/16/2016
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - Fund Raising and/or Fund Distribution
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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