FORM 1023-EZ for THE MUSEUM OF RESPIRATORY THERAPY

Field Data
EIN 83-1971110
Case Number EO-2018305-000198
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE MUSEUM OF RESPIRATORY THERAPY
Organization’s Mailing Address 2819 SHAWNEE
City FLINT
State MI
ZIP 48507
Accounting period End 7
Primary contact name SHANE SPAULDING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANE SPAULDING
DIRECTOR
2819 SHAWNEE AVE
FLINT MI 48507

Officer/Director/Trustee Two

NICHOLAS PRUSH
TRUSTEE
70 NATURES WAY
CARLETON MI 48117

Officer/Director/Trustee Three

KATELYN HAMMAR
TRUSTEE
1600 SOUTH RAISINVILLE RD
MONROE MI 48161

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A50 - Museum, Museum Activities
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
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 SHANE SPAULDING
Signature Title DIRECTOR
Signature Date 10/30/18

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