FORM 1023-EZ for LEWES UNLEASHED ASSOCIATION

Field Data
EIN 47-3102510
Case Number EO-2015187-000256
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LEWES UNLEASHED ASSOCIATION
Organization’s Mailing Address 415 E CAPE SHORES DRIV
City LEWES
State DE
ZIP 19958
Accounting period End 12
Primary contact name JANICE ERICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JANICE ERICH
PRESIDENT
415 E CAPE SHORES DRIVE
LEWES DE 19958

Officer/Director/Trustee Two

PAUL COLLINS
BOARD MEMBER
35207 OVERFALLS DRIVE N
LEWES DE 19958

Officer/Director/Trustee Three

LINDA DYLLA
BOARD MEMBER
2 DRAKE KNOLLS DRIVE
LEWES DE 19958

Officer/Director/Trustee Four

TOM MCGLONE
TREASURER
318 LAUREL ST
REHOBOTH BEACH DE 19958

Officer/Director/Trustee Five

LINDA PALMER
SECRETARY
14 SHIP CARPENTER SQUARE
LEWES DE 19958

Organization’s website LEWESUNLEASHED.ORG
Organization’s email DOGPARK@LEWESUNLEASHED.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/2014
Organization Incorporation State DE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D60 - Other Services - Specialty Animals
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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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