FORM 1023-EZ for PROJECT GRADUATION - GRAYLING HIGHSCHOOL

Field Data
EIN 83-1653539
Case Number EO-2018305-000176
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROJECT GRADUATION - GRAYLING HIGHSCHOOL
Organization’s Mailing Address 1157 NORTH OLD 27
City GRAYLING
State MI
ZIP 49738
Accounting period End 6
Primary contact name ANGELA MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGELA MILLER
CO-PRESIDENT
220 SOUTH BAUMAN
GRAYLING MI 49738

Officer/Director/Trustee Two

CYNTHIA POWERS
CO-PRESIDENT
6685 NORTH PETERSEN
FREDERIC MI 49733

Officer/Director/Trustee Three

KEITHA LOCHINSKI
TREASURER
607 GALEN STREET
GRAYLING MI 49738

Officer/Director/Trustee Four

JONI METIVA
SECRETARY
14532 CLUB CIRCLE SE
GRAYLING MI 49738

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/16/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANGELA MILLER
Signature Title CO-PRESIDENT
Signature Date 10/29/18
EIN 83-1653539
Case Number EO-2018305-000176
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROJECT GRADUATION - GRAYLING HIGH SCHOOL
Organization’s Mailing Address 1157 NORTH OLD 27
City GRAYLING
State MI
ZIP 49738
Accounting period End 6
Primary contact name ANGELA MILLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGELA MILLER
CO-PRESIDENT
220 SOUTH BAUMAN
GRAYLING MI 49738

Officer/Director/Trustee Two

CYNTHIA POWERS
CO-PRESIDENT
6685 NORTH PETERSEN
FREDERIC MI 49733

Officer/Director/Trustee Three

KEITHA LOCHINSKI
TREASURER
607 GALEN STREET
GRAYLING MI 49738

Officer/Director/Trustee Four

JONI METIVA
SECRETARY
14532 CLUB CIRCLE SE
GRAYLING MI 49738

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/16/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANGELA MILLER
Signature Title CO-PRESIDENT
Signature Date 10/29/18

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