FORM 1023-EZ for OSCODA PFAS FOUNDATION INC

Field Data
EIN 84-3534949
Case Number EO-2019325-000268
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OSCODA PFAS FOUNDATION INC
Organization’s Mailing Address 300 E LONG LAKE ROAD SUITE 200
City BLOOMFIELD HILLS
State MI
ZIP 48304
Accounting period End 12
Primary contact name LYNN BRIMER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARAH GANIM
PRESIDENT
300 E LONG LAKE ROAD SUITE 200
BLOOMFIELD HILLS MI 48304

Officer/Director/Trustee Two

ROBERT UFER
VICE PRESIDENT
300 E LONG LAKE ROAD SUITE 200
BLOOMFIELD HILLS MI 48304

Officer/Director/Trustee Three

LENNART BOURIN
SECRETARY TREASURER
300 E LONG LAKE ROAD SUITE 200
BLOOMFIELD HILLS MI 48304

Officer/Director/Trustee Four

LYNN BRIMER
INCORPORATOR
300 E LONG LAKE ROAD SUITE 200
BLOOMFIELD HILLS MI 48304

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/11/19
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A31 - Film, Video
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name LYNN BRIMER
Signature Title INCORPORATOR
Signature Date 11/19/19

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