FORM 1023-EZ for WSU PA STUDENT ORGANIZATION

Field Data
EIN 82-2644254
Case Number EO-2018075-000189
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WSU PA STUDENT ORGANIZATION
Organization’s Mailing Address C/ O 8595 FARVIEW DRIVE
City BYRON CENTER
State MI
ZIP 49315
Accounting period End 12
Primary contact name KELLIE TIMMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLIE TIMMER
TREASURER
8595 FARVIEW DRIVE
BYRON CENTER MI 49315

Officer/Director/Trustee Two

JUSTIN SMEDES-
PRESIDENT
57 W PALMER STREET UNIT 23
DETROIT MI 48202

Officer/Director/Trustee Three

ELIZABETH HABRETCH
SECRETARY
3345 HOMESTEAD CT
SALINE MI 48176

Officer/Director/Trustee Four

COLIN COLTER
VICE PRESIDENT
244408 NOTRE DAME
DEARBORN MI 48124

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/29/17
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KELLIE TIMMER
Signature Title TREASURER
Signature Date 3/14/18

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