FORM 1023-EZ for DOWNRIVER PANTHERS

Field Data
EIN 30-0999457
Case Number EO-2017298-000470
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DOWNRIVER PANTHERS
Organization’s Mailing Address PO BOX 535
City FLAT ROCK
State MI
ZIP 48134
Accounting period End 12
Primary contact name HEATHER PHILLIPS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEATHER PHILLIPS
DIRECTOR
23695 W CREEK DR
NEW BOSTON MI 48164

Officer/Director/Trustee Two

MAGDALENA KADLITZ
SECRETARY
4090 PONDEROSA
TRENTON MI 48183

Officer/Director/Trustee Three

THERESA SEVRENCE
TREASURER
210 ORLEANS AVE
MONROE MI 48162

Officer/Director/Trustee Four

HEATHER LOTTER
BOARD MEMBER
20 N ROESSLER APT 314
MONROE MI 48162

Officer/Director/Trustee Five

JASON LEWON
BOARD MEMBER
20 N ROESSLER APT 718
MONROE MI 48162

Organization’s website WWW.DOWNRIVERPANTHERS.COM
Organization’s email INFO@DOWNRIVERPANTHERS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/9/2017
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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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