FORM 1023-EZ for LAKEVIEW BAND PARENTS ASSOCIATION

Field Data
EIN 82-3930005
Case Number EO-2018192-000136
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKEVIEW BAND PARENTS ASSOCIATION
Organization’s Mailing Address 21100 E 11 MILE RD
City ST CLAIR SHORES
State MI
ZIP 48081
Accounting period End 6
Primary contact name PETER DHERDE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREA DOLSEN
PRESIDENT
22627 CAROLINA
ST CLAIR SHORES MI 48081

Officer/Director/Trustee Two

PETER DHERDE
VICE PRESIDENT
22020 STATLER ST
ST CLAIR SHORES MI 48080

Officer/Director/Trustee Three

AMANDA NAGY
VICE PRESIDENT
24409 LAMBRECHT
ST CLAIR SHORES MI 48021

Officer/Director/Trustee Four

LISA WISDOM
VICE PRESIDENT
24900 STAR VALLEY
ST CLAIR SHORES MI 48080

Officer/Director/Trustee Five

ANDREA ZAPATA
TREASURE
16744 LINCOLN AVE
EASTPOINTE MI 48021

Organization’s website
Organization’s email LBPAEXECBOARD@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/95
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: No
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 Yes
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 PETER DHERDE
Signature Title VICE PRESIDENT
Signature Date 7/9/18

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