FORM 1023-EZ for CITIZEN LABS

Field Data
EIN 81-4860737
Case Number EO-2017041-000180
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CITIZEN LABS
Organization’s Mailing Address 1258 EDSEL STREET SE
City GRAND RAPIDS
State MI
ZIP 49508-4664
Accounting period End 6
Primary contact name ALLEN CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALLEN CLARK
CHAIR
1258 EDSEL STREET SE
KENTWOOD MI 49508-4664

Officer/Director/Trustee Two

JOEL ANDERSON
TREASURER
5132 ANDOVER CT SW
WYOMING MI 49509-5005

Officer/Director/Trustee Three

BRANDON KLOTZ
VICE CHAIR
3401 BURTON RIDGE RD APT B
GRAND RAPIDS MI 49546-7808

Officer/Director/Trustee Four

MAXWELL DILLIVAN
SECRETARY
51 MATHEWS CT NE
GRAND RAPIDS MI 49505-4919

Officer/Director/Trustee Five

JACE BROWNING
BOARD MEMBER
55 OTTAWA AVE SW STE 516
GRAND RAPIDS MI 49503-4028

Organization’s website WWW.CITIZENLABS.ORG
Organization’s email INFO@CITIZENLABS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W20 - Government and Public Administration
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 Yes
One Third Support Gifts No
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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