FORM 1023-EZ for MICHIGAN COMMUNITY COLLEGE STUDENT SERVICES ASSOCIATION

Field Data
EIN 47-2714263
Case Number EO-2017305-000275
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MICHIGAN COMMUNITY COLLEGE STUDENT SERVICES ASSOCIATION
Organization’s Mailing Address 14500 E 12 MILE RD
City WARREN
State MI
ZIP 48808-3896
Accounting period End 6
Primary contact name SUSAN R BOYD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN BOYD
PRESIDENT
14500 E 12 MILE RD
WARREN MI 48088

Officer/Director/Trustee Two

RANDY DANIELS
PRESIDENT ELECT
1555 S RAISONVILLE RD
MONROE MI 48161

Officer/Director/Trustee Three

CHAD INABINET
SECRETARY
3000 N STILES RD
SCOTTVILLE MI 49454

Officer/Director/Trustee Four

MICHELLE VYSKOCIL
TREASURER
10775 N ST HELEN RD
ROSCOMMON MI 48653

Officer/Director/Trustee Five

DEBRA ALEXANDER
BOARD MEMBER AT LARGE
2800 COLLEGE RD
SIDNEY MI 48885

Organization’s website WWW.MCCSSA.ORG
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/1970
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
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 No
Benefit of College Yes
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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