FORM 1023-EZ for ALPENA PANTHERS

Field Data
EIN 85-1546101
Case Number EO-2020183-000335
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ALPENA PANTHERS
Organization’s Mailing Address 10717 WASHINGTON AVENUE
City OSSINEKE
State MI
ZIP 49766
Accounting period End 12
Primary contact name JEREMIAH MISIAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMIAH MISIAK
PRESIDENT
10717 WASHINGTON AVENUE
Ossineke MI 49766

Officer/Director/Trustee Two

BRIAN LACROSSE
VICE PRESIDENT
240 W WASHINGTON AVENUE
ALPENA MI 49707

Officer/Director/Trustee Three

JOE BASTOW
SECRETARY
1227 S 11TH AVENUE
ALPENA MI 49707

Officer/Director/Trustee Four

JULIE VANDUSEN
TREASURER
1419 FERNCLIFFE DRIVE
ALPENA MI 49707

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2020
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JEREMIAH MISIAK
Signature Title PRESIDENT
Signature Date 6/29/2020

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