FORM 1023-EZ for MOTOR CITY VETERANS HOCKEY ASSOCIATION

Field Data
EIN 83-2159332
Case Number EO-2019031-001012
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOTOR CITY VETERANS HOCKEY ASSOCIATION
Organization’s Mailing Address 7426 DIBROVA DR
City Brighton
State MI
ZIP 48116
Accounting period End 12
Primary contact name MARK FARE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTHONY PATCHELL
PRESIDENT
1067 E BEARD RD
PERRY MI 48872

Officer/Director/Trustee Two

MARK FARE
CHIEF FINANCIAL OFFICER
7426 DIBROVA DR
BRIGHTON MI 48116

Officer/Director/Trustee Three

MICHAEL PALMER
CHIEF OPERATING OFFICER
3715 GRAFTON ST
LAKE ORIO MI 48359

Officer/Director/Trustee Four

BRITTENY BRIGGS
TREASURER
9621 LAKESIDE DR
YPSILANTI MI 48197

Officer/Director/Trustee Five

TRACI LENNOX
SECRETARY
9094 HENRY RUFF RD
LIVONIA MI 48150

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/27/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N68 - Winter Sports (Snow and Ice)
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee No
Donation of funds Yes
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 MARK FARE
Signature Title CHIEF FINANCIAL OFFICER
Signature Date 1/8/19

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