FORM 1023-EZ for EHS GYMNASTICS

Field Data
EIN 46-3902145
Case Number EO-2019263-000278
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EHS GYMNASTICS
Organization’s Mailing Address 408 CEDARDALE 28TH ROAD
City CORNELL
State MI
ZIP 49818
Accounting period End 6
Primary contact name THERESA PASCOE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TARA DEROUIN
SECRETARY/TREASURER
6393 K5 ROAD
ESCANABA MI 49829

Officer/Director/Trustee Two

MARTHA SLIVA
PRESIDENT
PRESIDENT
ESCANABA MI 49829

Officer/Director/Trustee Three

LISA BLOCK
VICE PRESIDENT
3685 9TH LANE
BARK RIVER MI 49807

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/13
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TARA DEROUIN
Signature Title SECRETARY/TREASURER
Signature Date 9/18/19

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