FORM 1023-EZ for SHOUT FOR SOUTH HAVEN

Field Data
EIN 27-4341040
Case Number EO-2014276-000272
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHOUT FOR SOUTH HAVEN
Organization’s Mailing Address 556 NORTH SHORE DRIVE - 16
City SOUTH HAVEN
State MI
ZIP 49090
Accounting period End 12
Primary contact name ROBERT E COPPING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT COPPING
PRESIDENT
556 NORTH SHORE DRIVE - 16
SOUTH HAVEN MI 49090

Officer/Director/Trustee Two

DONALD HIXSON
VICE PRESIDENT
66641 16TH STREET
SOUTH HAVEN MI 49090

Officer/Director/Trustee Three

KAY WHALE
SECRETARY
530 WOODBRIDGE CIRCLE
SOUTH HAVEN MI 49090

Officer/Director/Trustee Four

JANE COPPING
CO-TREASURER
556 NORTH SHORE DRIVE - 16
SOUTH HAVEN MI 49090

Officer/Director/Trustee Five

MARIAN HIXSON
CO-TREASURER
66641 16TH STREET
SOUTH HAVEN MI 49090

Organization’s website
Organization’s email SOUTHHAVENM@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/21/2010
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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