FORM 1023-EZ for BROWN PARENT PUP GROUP

Field Data
EIN 38-3351174
Case Number EO-2015141-000269
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BROWN PARENT PUP GROUP
Organization’s Mailing Address 8064 BYRON CENTER AVE SW
City BYRON CENTER
State MI
ZIP 49315
Accounting period End 8
Primary contact name EMILY BACULIK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

REBECCA FORD
PRESIDENT
8695 GARDENDALE AVENUE
BYRON CENTER MI 49315

Officer/Director/Trustee Two

NICOLE HOLMES
SECRETARY
1745 MORNING DEW DRIVE SW
BYRON CENTER MI 49315

Officer/Director/Trustee Three

EMILY BACULIK
TREASURER
3106 RAILWAY DRIVE SW
BYRON CENTER MI 49315

Organization’s website
Organization’s email BROWNPARENTGROUP@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/19/2012
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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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