FORM 1023-EZ for HILLSDALE A FEW GOOD MEN INC

Field Data
EIN 46-4105103
Case Number EO-2015127-000367
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HILLSDALE A FEW GOOD MEN INC
Organization’s Mailing Address 311 HILLSDALE STREET
City HILLSDALE
State MI
ZIP 49242
Accounting period End 12
Primary contact name BENJAMIN H HOLSCHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JACOB THACKSTON
PRESIDENT
300 NORTH WEST STREET
HILLSDALE MI 49242

Officer/Director/Trustee Two

KEITH VROSTOS
CHIEF FINANCIAL OFFICER
311 HILLSDALE STREET
HILLSDALE MI 49242

Officer/Director/Trustee Three

BENJAMIN HOLSCHER
DIRECTOR
311 HILLSDALE STREET
HILLSDALE MI 49242

Officer/Director/Trustee Four

ROBERT BLACKSTOCK
DIRECTOR
1080 EARLYN DRIVE
HILLSDALE MI 49242

Officer/Director/Trustee Five

BROCK LUTZ
DIRECTOR
1940 STEAMBURG ROAD
HILLSDALE MI 49242

Organization’s website AFEWGOODMEN.ORG
Organization’s email INFO@AFEWGOODMEN.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/1/2013
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Donation of funds Yes
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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