FORM 1023-EZ for OAK PARK SERVICE GROUP INC

Field Data
EIN 81-5346646
Case Number EO-2017100-000158
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OAK PARK SERVICE GROUP INC
Organization’s Mailing Address 1365 GATEWOOD DRIVE
City AUBURN
State AL
ZIP 36830
Accounting period End 12
Primary contact name BETH ELLIOT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BETH ELLIOT
DIRECTOR
429 BLAKE STREET
AUBURN AL 36830

Officer/Director/Trustee Two

BOBBIE UMBACK
DIRECTOR
7828 ALABAMA HWY 147 NORTH
WAVERLY AL 36879

Officer/Director/Trustee Three

MARILYN SANFORD
DIRECTOR
1329 GRANITE COURT
AUBURN AL 36830

Officer/Director/Trustee Four

ANN ROGERS
DIRECTOR
2361 BARKLEY CREST LANE
AUBURN AL 36830

Officer/Director/Trustee Five

NANCY PENASKOVIC
DIRECTOR
581 CROSS CREEK ROAD
AUBURN AL 36830

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2017
Organization Incorporation State AL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P75 - Senior Continuing Care Communities
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
Signature Title
Signature Date

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