FORM 1023-EZ for MID MICHIGAN MOUNTAIN BIKING ASSOCIATION

Field Data
EIN 46-0912450
Case Number EO-2018029-000351
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MID MICHIGAN MOUNTAIN BIKING ASSOCIATION
Organization’s Mailing Address PO BOX 426
City DIMONDALE
State MI
ZIP 48821
Accounting period End 12
Primary contact name ANNE GROFVERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRANDON BLAIN
OFFICER
901 FROST RD
WILLIAMSTON MI 48895

Officer/Director/Trustee Two

JARED STEFFEN
PRESIDENT
4336 DELL RD
LANSING MI 48911

Officer/Director/Trustee Three

RON BOCK
VICE PRESIDENT
533 S GRAND AVE
LANSING MI 48933

Officer/Director/Trustee Four

HOLLY TAYLOR
SECRETARY
225 STEELE ST
MASON MI 48854

Officer/Director/Trustee Five

ANNE GROFVERT
TREASURER
6351 PLEASANT RIVER DR
DIMONDALE MI 48821

Organization’s website MMMBA.ORG
Organization’s email INFO@MMMBA.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/27/12
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W01 - Alliance/Advocacy Organizations
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ANNE GROFVERT
Signature Title TREASURER
Signature Date 1/25/18

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