FORM 1023-EZ for APHA DBA ALLEN PARK HOCKEY ASSOCIATION

Field Data
EIN 81-3540032
Case Number EO-2016364-000053
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name APHA DBA ALLEN PARK HOCKEY ASSOCIATION
Organization’s Mailing Address 31638 IRIS COURT
City BROWNSTOWN
State MI
ZIP 48173
Accounting period End 6
Primary contact name JOHN KAMPH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES HUNT
PRESIDENT
12197 MANOR DR
SOUTHGATE MI 48195

Officer/Director/Trustee Two

JOHN KAMPH
SECRETARY/TREASURER
31638 IRIS COURT
BROWNSTOWN MI 48173

Officer/Director/Trustee Three

JOE PATTENAUDE
DIRECTOR
3307 TOMSON STREET
TRENTON MI 48183

Officer/Director/Trustee Four

CHRIS POTASNIK
DIRECTOR
6652 NORWOOD AVE
ALLEN PARK MI 48101

Officer/Director/Trustee Five

CHARLES KOBRZYCKI
DIRECTOR
15315 POPULAR STREET
SOUTHGATE MI 48195

Organization’s website WWW.ALLENPARKHOCKEY.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N68 - Winter Sports (Snow and Ice)
Organization’s purpose Charitable: Yes
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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