FORM 1023-EZ for PLSM

Field Data
EIN 84-3753692
Case Number EO-2019357-000232
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PLSM
Organization’s Mailing Address 345 NORTH 160TH STREET
City HOLLAND
State MI
ZIP 49424-6254
Accounting period End 12
Primary contact name EDWARD WILLIAM BREDEMEIER JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEITH REYNOLDS
PRESIDENT
345 NORTH 160TH STREET
HOLLAND MI 49424-6254

Officer/Director/Trustee Two

EDWARD BREDEMEIER
TREASURER
822 PINE BAY AVE
HOLLAND MI 49424-2782

Officer/Director/Trustee Three

LEEANN REYNOLDS
SECRETARY
345 NORTH 160TH STREET
HOLLAND MI 49424-6254

Organization’s website PL-SM.COM
Organization’s email KEITH@PL-SM.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/17/2019
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: No
Religious: Yes
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 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 EDWARD BREDEMEIER
Signature Title TREASURER
Signature Date 12/19/2019

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