FORM 1023-EZ for OPTIMIST YOUTH FOUNDATION INC

Field Data
EIN 38-6111247
Case Number EO-2018171-000447
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OPTIMIST YOUTH FOUNDATION INC
Organization’s Mailing Address PO BOX 2258
City TRAVERSE CITY
State MI
ZIP 49685
Accounting period End 12
Primary contact name MICHAEL BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMUEL MITCHELL
PRESIDENT
6264 RED FOX RUN
TRAVERSE CITY MI 49686

Officer/Director/Trustee Two

GARY CHOUINARD
VICE PRESIDENT
529 MONROE ST
TRAVERSE CITY MI 49684

Officer/Director/Trustee Three

ROBERT SIMPSON
SECRETARY
2628 OLD BARN RD
TRAVERSE CITY MI 49685

Officer/Director/Trustee Four

KEVIN JAEGER
TREASURER
2358 CASS RD
TRAVERSE CITY MI 49684

Officer/Director/Trustee Five

MICHAEL BROWN
DIRECTOR
717 S UNION ST
TRAVERSE CITY MI 49684

Organization’s website TC-OPTIMIST.ORG
Organization’s email MBROWN@BURDCO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/66
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - Fund Raising and/or Fund Distribution
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KEVIN JAEGER
Signature Title TREASURER
Signature Date 6/6/18

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