FORM 1023-EZ for COMSTOCK PARK COMMUNITY OUTREACH

Field Data
EIN 82-1468442
Case Number EO-2017233-000160
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMSTOCK PARK COMMUNITY OUTREACH
Organization’s Mailing Address 101 SCHOOL ST
City COMSTOCK PARK
State MI
ZIP 49321
Accounting period End 12
Primary contact name ETHAN EBENSTEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAN CLARK
CO-CHAIR
57 LAMOREAUX DR
COMSTOCK PARK MI 49321

Officer/Director/Trustee Two

ETHAN EBENSTEIN
CO-CHAIR
101 SCHOOL ST
COMSTOCK PARK MI 49321

Officer/Director/Trustee Three

NANCY MULDER
SECRETARY
3943 W RIVER DRIVE
COMSTOCK PARK MI 49321

Officer/Director/Trustee Four

JANET HULETT
TREASURER
3800 ALPINE AVE
COMSTOCK PARK MI 49321

Officer/Director/Trustee Five

CARRIE PARLIN
TRUSTEE
3300 36TH ST
GRAND RAPIDS MI 49512

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/2017
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S21 - Community Coalitions
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 Yes
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 Yes
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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