FORM 1023-EZ for SEQUIM DOG PARK PALS

Field Data
EIN 82-4798272
Case Number EO-2018079-000237
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SEQUIM DOG PARK PALS
Organization’s Mailing Address PO BOX 1083
City CARLSBORG
State WA
ZIP 98324
Accounting period End 12
Primary contact name MARCY ENGELSTEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARCY ENGELSTEIN
CHAIRPERSON
PO BOX 1083
CARLSBORG WA 98324

Officer/Director/Trustee Two

CINDY ARNOLD
SECRETARY
774 SPORSEEN RD
SEQUIM WA 98382

Officer/Director/Trustee Three

DAVID NEIDHARDT
TREASURER
PO BOX 2465
SEQUIM WA 98382

Organization’s website SEQUIMDOGPARKS.ORG
Organization’s email MARCYENGELSTEIN@ICLOUD.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/20/07
Organization Incorporation State WA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 MARCY ENGELSTEIN
Signature Title CHAIRPERSON
Signature Date 3/15/18

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