FORM 1023-EZ for HEADWATERS CHAPTER OF TROUT UNLIMITED 315

Field Data
EIN 74-2047366
Case Number EO-2019268-000138
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEADWATERS CHAPTER OF TROUT UNLIMITED 315
Organization’s Mailing Address PO BOX 1873
City GAYLORD
State MI
ZIP 49734-5873
Accounting period End 3
Primary contact name LLOYD SPARKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT WHITCOMB
OFFICER
8634 CEDAR CREEK DR
PETOSKEY MI 49770

Officer/Director/Trustee Two

ETHAN WINCHESTER
OFFICER
2136 N SPRINGBROOK
BOYNE FALLS MI 49713

Officer/Director/Trustee Three

LLOYD SPARKS
OFFICER
706 W SHELDON
GAYLORD MI 49735

Officer/Director/Trustee Four

BRYAN NEWELL
OFFICER
5193 SEYMORE RD
GAYLORD MI 49735

Officer/Director/Trustee Five

TRAVIS BANDT
OFFICER
8627 SPARR RD
GAYLORD MI 49735

Organization’s website
Organization’s email NMITROUTBUM@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/81
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C32 - Water Resource, Wetlands Conservation and Management
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 LLOYD SPARKS
Signature Title OFFICER
Signature Date 9/23/19

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