FORM 1023-EZ for GRAND RIVER FLY TYERS INC

Field Data
EIN 82-1228034
Case Number EO-2017118-000200
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRAND RIVER FLY TYERS INC
Organization’s Mailing Address 206 ROBINHOOD DRIVE NE
City GRAND RAPIDS
State MI
ZIP 49546
Accounting period End 12
Primary contact name JOHN HARRISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN HARRISON
PRESIDENT
206 ROBINHOOD DRIVE NE
GRAND RAPIDS MI 49546

Officer/Director/Trustee Two

DENNIS POTTER
VICE PRESIDENT
4580
LOGGERS RUN NE MI 49525-9478

Officer/Director/Trustee Three

MIKE SORENSON
TREASURER
10856 WOODBUSHE DRIVE SE
LOWELL MI 49331-2625

Officer/Director/Trustee Four

RICHARD GIGANDET
SECRETARY
6246 KNAPP
ADA MI 49301-9570

Officer/Director/Trustee Five

SAM LACINA
DIRECTOR
2200 EAST FULTON
GRAND RAPIDS MI 49503-3924

Organization’s website GRANDRIVERFLYTYERS.CLUB
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/14/2017
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N61 - Fishing, Hunting Clubs
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 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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