FORM 1023-EZ for MOUNT CLEMENS COMMUNITY COALITION FOR YOUTH AND FAMILIES

Field Data
EIN 46-2769895
Case Number EO-2015030-000500
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOUNT CLEMENS COMMUNITY COALITION FOR YOUTH AND FAMILIES
Organization’s Mailing Address 54 W BREITMEYER PLACE
City MOUNT CLEMENS
State MI
ZIP 48043
Accounting period End 12
Primary contact name MICHAEL SCHICHTEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROGER BUNTON
CHAIRPERSON
54 W BREITMEYER PLACE
MOUNT CLEMENS MI 48043

Officer/Director/Trustee Two

KAREN PFUERSTINGER
VICE-CHAIRPERSON
69 ORCHARD
MOUNT CLEMENS MI 48043

Officer/Director/Trustee Three

MICHAEL SCHICHTEL
TREASURER
875 N ESPLANADE STREET
MOUNT CLEMENS MI 48043-6427

Officer/Director/Trustee Four

BARB DEMPSEY
DIRECTOR
1369 KINGSLEY
MOUNT CLEMENS MI 48043

Officer/Director/Trustee Five

RUTHIE STEVENSON
DIRECTOR
69 BEYNE STREET
MOUNT CLEMENS MI 48043

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/2014
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S21 - Community Coalitions
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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