FORM 1023-EZ for SHIELDED SOULS LE-MC REBEL CREW

Field Data
EIN 83-1535898
Case Number EO-2018232-000203
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHIELDED SOULS LE-MC REBEL CREW
Organization’s Mailing Address 6040 DUDLEY ST
City TAYLOR
State MI
ZIP 48180
Accounting period End 12
Primary contact name LYNN JEDIAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARY CHISTIAN
PRESIDENT
15856 WARWICK
ALLEN PARK MI 48101

Officer/Director/Trustee Two

RUSS WEST
SECRETARY
4888 ELM ST
NEWPORT MI 48166

Officer/Director/Trustee Three

LYNN JEDINAK
TREASURER
6040 DUDLEY ST
TAYLOR MI 48180

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 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 LYNN JEDINAK
Signature Title TREASURER
Signature Date 8/16/18

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