FORM 1023-EZ for DYSUN

Field Data
EIN 84-4916814
Case Number EO-2020072-000306
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DYSUN
Organization’s Mailing Address 7881 MACATAWA TRAIL
City GAYLORD
State MI
ZIP 48725
Accounting period End 12
Primary contact name DANIEL H SERLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACEY JOHANSEN
PRESIDENT
788
GAYLORD MI 48725

Officer/Director/Trustee Two

MICHAEL HALL
TREASURER
44225 VILLAGE CT
CANTON MI 48187

Officer/Director/Trustee Three

ADAM MARCINIAK
SECRETARY
812 CLOVER DR
GAYLORD MI 49735

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/9/2019
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 Yes
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 TRACEY JOHANSEN
Signature Title PRESIDENT
Signature Date 3/10/2020

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