FORM 1023-EZ for FRIENDS OF WORTHLEY POND INC

Field Data
EIN 82-3869456
Case Number EO-2018059-000117
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF WORTHLEY POND INC
Organization’s Mailing Address PO BOX 230
City PERU
State ME
ZIP 4290
Accounting period End 12
Primary contact name WANDA PELKEY TREASURER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARY NASH
PRESIDENT AND DIRECTOR
PO BOX 230
PERU ME 4290

Officer/Director/Trustee Two

WANDA PELKEY
TREASURER AND DIRECTOR
PO BOX 230
PERU ME 4290

Officer/Director/Trustee Three

JAMES DENHOLM
VICE PRESIDENT AND DIRECTOR
PO BOX 230
PERU ME 4290

Officer/Director/Trustee Four

KRISTINA WEST
SECRETARY AND DIRECTOR
PO BOX 230
PERU ME 4290

Officer/Director/Trustee Five

KATHY BARRETT
DIRECTOR
PO BOX 230
PERU ME 4290

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/27/17
Organization Incorporation State ME
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C32 - Water Resource, Wetlands Conservation and Management
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 WANDA PELKEY
Signature Title TREASURER AND DIRECTOR
Signature Date 2/24/18

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