FORM 1023-EZ for GREAT LAKES BARBELL CLUB INCORPORATED

Field Data
EIN 47-5266193
Case Number EO-2015351-000322
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GREAT LAKES BARBELL CLUB INCORPORATED
Organization’s Mailing Address 324 INDIAN RIDGE DRIVE
City LAKE ORION
State MI
ZIP 48362
Accounting period End 12
Primary contact name MARIO DISPENZA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEBORAH HUDSON
PRESIDENT
324 INDIAN RIDGE DRIVE
LAKE ORION MD 48632

Officer/Director/Trustee Two

MARIO DISPENZA
TREASURER
406 WAVELAND ROAD
CATONSVILLE MD 21228

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/29/2015
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N71 - Olympics Committees and Related International Competitions
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 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
Signature Title
Signature Date

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