FORM 1023-EZ for MARTIN PARK INC

Field Data
EIN 81-5002925
Case Number EO-2017226-000096
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MARTIN PARK INC
Organization’s Mailing Address 8080 NORTH PALM AVENUE THIRD FLOOR
City FRESNO
State CA
ZIP 93711
Accounting period End 12
Primary contact name MATTHEW DILDINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW DILDINE
PRESIDENT/SECRETARY/DIRECTOR
10270 E SIERRA AVE
CLOVIS CA 93619

Officer/Director/Trustee Two

ROBERT KUTKA
TREASURER/DIRECTOR
1954 N LANGLEY AVE
CLOVIS CA 93619

Officer/Director/Trustee Three

KASEY NOORDMANS
DIRECTOR
16115 DEER PATH LANE
CLOVIS CA 93619

Officer/Director/Trustee Four

PHILLIP KNEELAND
DIRECTOR
4433 E COPPER AVENUE
CLOVIS CA 93619

Officer/Director/Trustee Five

JEANNINE BOGDANOFF
DIRECTOR
1161 PRESCOTT AVENUE
CLOVIS CA 93619

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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 Yes
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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