FORM 1023-EZ for CLEAT REPEAT INC

Field Data
EIN 27-1387909
Case Number EO-2019262-000013
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLEAT REPEAT INC
Organization’s Mailing Address 1145 W CURTIS RD
City SANFORD
State MI
ZIP 48657
Accounting period End 12
Primary contact name CASEY W SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CASEY SMITH
PRESIDENT
1145 W CURTIS RD
SANFORD MI 48657

Officer/Director/Trustee Two

ROBYN SHEPARD
DIRECTOR
2205 E OKLAHOMA AVE
MILWAKUKEE WI 53207

Officer/Director/Trustee Three

KATELYN COLE
DIRECTOR
64 BUNNY TRL
SAGINAW MI 48638

Officer/Director/Trustee Four

NONE NONE
NONE
NONE
NONE MI 48657

Officer/Director/Trustee Five

NONE NONE
NONE
NONE
NONE MI 48657

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/30/09
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 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 Yes
Correctness Declaration Yes
Signature Name CASEY SMITH
Signature Title PRESIDENT
Signature Date 9/17/19

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