FORM 1023-EZ for TRI-CITIES BROADCASTING FOUNDATIONINC

Field Data
EIN 46-5018814
Case Number EO-2015232-000431
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TRI-CITIES BROADCASTING FOUNDATIONINC
Organization’s Mailing Address 1097 JACKSON STREET SUITE C
City GRAND HAVEN
State MI
ZIP 49417
Accounting period End 3
Primary contact name BROOK BISONET
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ERIC KAELIN
PRESIDENT
15471 ROYAL OAK DRIVE
GRAND HAVEN MI 49417

Officer/Director/Trustee Two

AMANDA KAELIN
TREASURER
15471 ROYAL OAK DRIVE
GRAND HAVEN MI 49417

Officer/Director/Trustee Three

FLOYD FONTE
SECRETARY
11940 CHICKORY
GRAND HAVEN MI 49417

Officer/Director/Trustee Four

VERONDA COTTLE
DIRECTOR
1266 BARBARA COURT
CRETE IL 60417

Organization’s website WWW.1035WAWL.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/13/2013
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A34 - Radio
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 Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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