FORM 1023-EZ for WINTERSET DOG PARK INC

Field Data
EIN 47-4953394
Case Number EO-2016012-000148
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WINTERSET DOG PARK INC
Organization’s Mailing Address 305 E WASHINGTON ST
City WINTERSET
State IA
ZIP 50273
Accounting period End 12
Primary contact name CARI DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CARI DAVIS
BOARD OF DIRECTORS PRESIDENT
305 E WASHINGTON ST
WINTERSET IA 50273

Officer/Director/Trustee Two

BETH MCDONALD
BOARD OF DIRECTORS - CO DIRECTOR
3232 190TH
PROLE IA 50229

Officer/Director/Trustee Three

KELLY MCKIBBIN
BOARD OF DIRECTORS- CO DIRECT
2477 263RD LANE
PERU IA 50222

Officer/Director/Trustee Four

CINDY PERRY
TREASURER
2508 225TH TRAIL
WINTERSET IA 50273

Officer/Director/Trustee Five

DALE KIRK
MEMBER
2967 MALLARD AVE
LORIMOR IA 50149

Organization’s website WWW.WINTERSETDOGPARK.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/2/2015
Organization Incorporation State IA
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: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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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