FORM 1023-EZ for BEMIS JUNIOR HIGH ATHLETIC BOOSTERCLUB

Field Data
EIN 45-4570666
Case Number EO-2016201-000434
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BEMIS JUNIOR HIGH ATHLETIC BOOSTERCLUB
Organization’s Mailing Address 12500 19 MILE RD
City STERLING HEIGHTS
State MI
ZIP 48313
Accounting period End 12
Primary contact name KATHLEEN TERRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JIM DIFALCO
PRESIDENT
38626 BYRIVER
CLINTON TWP MI 48306

Officer/Director/Trustee Two

KATHLEEN TERRY
TREASURER
49866 BLOOMSBURY LN
MACOMB MI 48044

Officer/Director/Trustee Three

AMY CRONIN
SECRETARY
13612 CLINTON RIVER RD
STERLING HGTS MI 48313

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/18/2012
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - 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 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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