FORM 1023-EZ for DOWNEAST ADAPTIVE YOUTH RECREATIONINC

Field Data
EIN 83-2777201
Case Number EO-2020062-000255
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOWNEAST ADAPTIVE YOUTH RECREATIONINC
Organization’s Mailing Address PO BOX 902
City ELLSWORTH
State ME
ZIP 04605
Accounting period End 12
Primary contact name KRISTY HARDISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTY HARDISON
PRESIDENT
145 BOHN RD
ELLSWORTH ME 04605

Officer/Director/Trustee Two

TODD WAGSTAFF
VICE PRESIDENT
35 UPLAND WAY
ELLSWORTH ME 04605

Organization’s website
Organization’s email DOWNEASTADAPTIVE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/2018
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 KRISTY HARDISON
Signature Title PRESIDENT
Signature Date 2/27/2020

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