FORM 1023-EZ for OLYMPIQUE DETROIT

Field Data
EIN 85-1043962
Case Number EO-2020147-000520
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OLYMPIQUE DETROIT
Organization’s Mailing Address 4158 WASHTENAW AVE
City ANN ARBOR
State MI
ZIP 48108
Accounting period End 5
Primary contact name ROBERT SMOTHERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT SMOTHERS
DIRECTOR/PRESIDENT
635 HIDDEN VALLEY CLUB DR APT 215
ANN ARBOR MI 48104

Officer/Director/Trustee Two

SAM BERNSTEIN
BOARD MEMBER
4158 WASHTENAW AVE
ANN ARBOR MI 48108

Officer/Director/Trustee Three

ABRAHAM GONZALES
BOARD MEMBER
849 KNOLLCREST AVE
HOLLAND MI 49423

Officer/Director/Trustee Four

ZORICA REIC
SECRETARY/TREASURER
635 HIDDEN VALLEY CLUB DR APT 215
ANN ARBOR MI 48104

Organization’s website
Organization’s email OLYMPIQUEDETROIT@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/2020
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N66 - Tennis, Racquet Sports Clubs, Leagues
Organization’s purpose Charitable: Yes
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 ROBERT SMOTHERS
Signature Title DIRECTOR/PRESIDENT
Signature Date 5/22/2020

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