FORM 1023-EZ for WALLED LAKE NORTHERN HOCKEY BOOSTERCLUB

Field Data
EIN 47-2928854
Case Number EO-2015040-000411
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WALLED LAKE NORTHERN HOCKEY BOOSTERCLUB
Organization’s Mailing Address 6000 BOGIE LAKE RD
City COMMERCE TWP
State MI
ZIP 48382
Accounting period End 4
Primary contact name DOUGLAS SWATOSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEFFREY FRELICH
PRESIDENT
1767 CHESHIRE LANE
COMMERCE TWP MI 48382

Officer/Director/Trustee Two

DAVE MUELLAR
VICE PRESIDENT
5363 MILL RACE WAY
COMMERCE TWP MI 48382

Officer/Director/Trustee Three

DOUGLAS SWATOSH
TREASURER
817 ELSMERE
COMMERCE TWP MI 48382

Officer/Director/Trustee Four

CHERYL CALACTERRA
PARENT REP
963 HIDDEN COVE
WHIELAKE MI 48386

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/2015
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 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 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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