FORM 1023-EZ for MID THUMB BOWMEN YOUTH LEAGUE

Field Data
EIN 84-5101119
Case Number EO-2020076-000394
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MID THUMB BOWMEN YOUTH LEAGUE
Organization’s Mailing Address 2080 STIMSON ROAD
City BROWN CITY
State MI
ZIP 48416-8744
Accounting period End 12
Primary contact name MARK HURLBURT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES DAVIS
DIRECTOR, PRESIDENT
4126 MONTGOMERY ROAD
MARLETTE MI 48453

Officer/Director/Trustee Two

MARK HURLBURT
DIRECTOR, VICE PRESIDENT
8795 BROWN RD
GREENWOOD MI 48006-1119

Officer/Director/Trustee Three

ANTHONY LASHBROOK
DIRECTOR
9597 IMLAY CITY RD
KENOCKEE MI 48006

Officer/Director/Trustee Four

ROBIN HURLBURT
TREASURER
8795 BROWN RD
GREENWOOD MI 48006-1119

Officer/Director/Trustee Five

JENNIFER SHOEMAKER
SECRETARY
4446 BROWN CITY RD
BROWN CITY MI 48416

Organization’s website
Organization’s email MHURLBURT1201@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/12/2020
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
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 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 MARK HURLBURT
Signature Title DIRECTOR, VICE PRESIDENT
Signature Date 3/13/2020

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