FORM 1023-EZ for GLADWIN YOUTH ARTS ALLIANCE

Field Data
EIN 47-4188346
Case Number EO-2015261-000244
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GLADWIN YOUTH ARTS ALLIANCE
Organization’s Mailing Address 303 LUMM ST
City GLADWIN
State MI
ZIP 48624
Accounting period End 9
Primary contact name CHERYL LOESEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHERYL LOESEL
CHAIRPERSON
303 LUMM ST
GLADWIN MI 48624

Officer/Director/Trustee Two

KYLE GROVE
CO-CHAIRPERSON
3745 WAGARVILE RD
GLADWIN MI 48624

Officer/Director/Trustee Three

JAN BERG-REZMER
BOARD
1800 CASTLEVIEW CT
GLADWIN MI 48624

Officer/Director/Trustee Four

ERIC DION
BOARD
3403 BUZZELL RD
GLADWIN MI 48624

Officer/Director/Trustee Five

CARRIE BALCIRIK
BOARD
5600 SCHMIDT RD
GLADWIN MI 48624

Organization’s website
Organization’s email GLADWINYOUTH.ARTS@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2015
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural 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 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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