FORM 1023-EZ for MICHIGAN CONFERENCE CAMP ASSOCIATION OF UNITED BRETHREN IN CHRIST

Field Data
EIN 38-1877534
Case Number EO-2016112-000247
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MICHIGAN CONFERENCE CAMP ASSOCIATION OF UNITED BRETHREN IN CHRIST
Organization’s Mailing Address 536 E 6 MILE RD
City LUTHER
State MI
ZIP 49656
Accounting period End 12
Primary contact name BRADLEY NORTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOE SMITH
TRUSTEE
17618 REXWOOD
LIVONIA MI 48152

Officer/Director/Trustee Two

KRISTI MCCONNELL
PRESIDENT
2003 84TH ST
CALEDONIA MI 49316

Officer/Director/Trustee Three

LAVON HAMP
VICE PRESIDENT
9540 GRAND LEDGE HWY
SUNFIELD MI 48890

Officer/Director/Trustee Four

JULIE WALTER
SECRETRAY
7331 INDIGO RIDGE
BYRON CENTER MI 49315

Officer/Director/Trustee Five

ROGER COOLEY
TREASURER
6458 PLEASANT VALLEY DR SW
BYRON CENTER MI 49315

Organization’s website WWW.CAMPLIVINGWATERS.ORG
Organization’s email INFO.CAMPLIVINGWATERS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/1963
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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