FORM 1023-EZ for COPPER COUNTRY KILLER WHALES INC

Field Data
EIN 81-3913461
Case Number EO-2017124-000191
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COPPER COUNTRY KILLER WHALES INC
Organization’s Mailing Address 400 QUINCY STREET 4TH FLOOR
City HANCOCK
State MI
ZIP 49930
Accounting period End 8
Primary contact name MATTHEW ELIASON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ELIZABETH VEINOTT
BOARD PRESIDENT
1102 6TH AVEUE
HOUGHTON MI 49931

Officer/Director/Trustee Two

PETIO KOTOV
BOARD VICE PRESIDENT
22381 M26
HANCOCK MI 49930

Officer/Director/Trustee Three

AMY PELLIZARO
BOARD SECRETARY
1305 GARDEN STREET
HANCOCK MI 49930

Officer/Director/Trustee Four

KERRY BEAGHAN
BOARD TREASURER
47212 MAIN STREET
HOUGHTON MI 49931

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/9/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: No
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 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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