FORM 1023-EZ for PROJECT 111

Field Data
EIN 81-1761749
Case Number EO-2016076-000259
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PROJECT 111
Organization’s Mailing Address 2300 DEER VALLEY
City MIDLAND
State MI
ZIP 48642
Accounting period End 12
Primary contact name SARAH SCHIEBER-KUEHNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SARAH SCHIEBER-KUEHNE
PRESIDENT
2300 DEER VALLEY
MIDLAND MI 48642

Officer/Director/Trustee Two

WALLACE MAYTON
VP
1310 ASHMAN
MIDLAND MI 48640

Officer/Director/Trustee Three

PAUL WHITE
SECRETARY
905 BALFOUR
MILDAND MI 48640

Officer/Director/Trustee Four

NANCY MONEY
TREASURER
2604 DEERWOOD CIRCLE
MIDLAND MI 48640

Officer/Director/Trustee Five

TODD GAMBRELL
BOARD MEMBER
240 W MAIN
MIDLAND MI 48640

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/4/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M42 - Automotive Safety
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 Yes
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 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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