FORM 1023-EZ for SALEM NH DOG PARK

Field Data
EIN 83-2755225
Case Number EO-2019031-000700
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SALEM NH DOG PARK
Organization’s Mailing Address 26 MATTHEW DRIVE
City SALEM
State NH
ZIP 3079
Accounting period End 12
Primary contact name MICHELLE KOBEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROL-JEAN SCHINDLER
OFFICER
13 PALMER STREET
SALEM NH 3079

Officer/Director/Trustee Two

MELANIE FICHERA
OFFIER
18 FRANKLIN STREET
SALEM NH 3079

Officer/Director/Trustee Three

MICHELLE KOBEY
OFFICER
26 MATTHEW DRIVEW
SALEM NH 3079

Officer/Director/Trustee Four

DENISE SHERIDAN
OFFICER
32 IRIS AVENUE
SALEM NH 3079

Officer/Director/Trustee Five

PAMELA AVALLONE
OFFICER
81 BROOKDALE ROAD
SALEM NH 3079

Organization’s website WWW.SALEMDOGPARK.COM
Organization’s email SALEMNHDOGPARK@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/18
Organization Incorporation State NH
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: 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 MICHELLE KOBEY
Signature Title OFFICER
Signature Date 1/5/19

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