FORM 1023-EZ for SLEHS GIRLS SWIM AND DIVE BOOSTERS

Field Data
EIN 83-0594044
Case Number EO-2018208-000157
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SLEHS GIRLS SWIM AND DIVE BOOSTERS
Organization’s Mailing Address 52400 W 12 MILE RD
City WIXOM
State MI
ZIP 48393
Accounting period End 12
Primary contact name MARIESA A COSENS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SANDRA BOALS
PRESIDENT
53534 SHOAL CREEK DR
SOUTH LYON MI 48178

Officer/Director/Trustee Two

PAIGE ENGBERG
VICE PRESIDENT
803 WESTBROOKE DR
SOUTH LYON MI 48178

Officer/Director/Trustee Three

MELISSA GALECKA
SECRETARY
28632 COTTAGE LN
SOUTH LYON MI 48178

Officer/Director/Trustee Four

MARIESA COSENS
TREASURER
52400 W 12 MILE RD
WIXOM MI 48393

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 MARIESA COSENS
Signature Title TREASURER
Signature Date 7/25/18

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