FORM 1023-EZ for HARSENS ISLAND CONSERVATION ASSOCIATION INCORPORATED

Field Data
EIN 27-2090743
Case Number EO-2014239-000124
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HARSENS ISLAND CONSERVATION ASSOCIATION INCORPORATED
Organization’s Mailing Address 1825 SOUTH CHANNEL DRIVE
City HARSENS ISLAND
State MI
ZIP 48028-9513
Accounting period End 12
Primary contact name BERNARD M LICATA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DREW PESLAR
PRESIDENT
312 W BROWN ST
BIRMINGHAM MI 48009-1468

Officer/Director/Trustee Two

ROBERT WILLIAMS
TREASURER
1920 ROBINA AVE
BERKLEY MI 48072-1254

Officer/Director/Trustee Three

BERNARD LICATA
SECRETARY
1825 SOUTH CHANNEL DRIVE
HARSENS ISLAND MI 48028-9513

Officer/Director/Trustee Four

CHARLES MILLER
DIRECTOR
5178 GREEN DRIVE
HARSENS ISLAND MI 48028-9513

Officer/Director/Trustee Five

H NEAL STONEBACK
DIRECTOR
6175 GREEN DRIVE
HARSENS ISLAND MI 48028-9513

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/2010
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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