FORM 1023-EZ for LOWELL SERENITY CLUB INC

Field Data
EIN 41-2270631
Case Number EO-2019235-000339
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOWELL SERENITY CLUB INC
Organization’s Mailing Address 101 W MAIN ST
City LOWELL
State MI
ZIP 49331
Accounting period End 12
Primary contact name PAUL KLEFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLIE MILLER
PRESIDENT
1345 VALLEY VISTA
LOWELL MI 49331

Officer/Director/Trustee Two

DON ARMSTRONG
TREASURER
13810 COVERED BRIDGE
LOWELL MI 49331

Officer/Director/Trustee Three

SEELAH T HILLS
SECRETARY
2315 SEGWUN DR
LOWELL MI 49331

Officer/Director/Trustee Four

NATHANIEL SCHAFER
DIRECTOR
35 WHITES BRIDGE RD
BELDING MI 48809

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/14/90
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 NATHANIEL SCHAFER
Signature Title DIRECTOR
Signature Date 8/21/19

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