FORM 1023-EZ for MICHIGAN ASSOCIATION FOR MEDIA IN EDUCATION

Field Data
EIN 38-2032136
Case Number EO-2016214-000253
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MICHIGAN ASSOCIATION FOR MEDIA IN EDUCATION
Organization’s Mailing Address 1407 RENSEN STREET SUITE 3
City LANSING
State MI
ZIP 48910-3657
Accounting period End 6
Primary contact name PETER K FALES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA BRAKEL
PRESIDENT
8420 WOLVERINE
TEMPERANCE MI 48182-9115

Officer/Director/Trustee Two

GWENN MARCHESANO
PAST PRESIDENT
46337 QUAIL RIDGE DR
PLYMOUTH MI 48170-3536

Officer/Director/Trustee Three

CATHERINE KERNS
VICE PRESIDENT
4553 BROOKSTONE
SAGINAW MI 48603-8632

Officer/Director/Trustee Four

CARMA ROESCH
VICE PRESIDENT
5992 SADDLEBACK COURT
TECUMSEH MI 49286-7785

Officer/Director/Trustee Five

BRUCE POPEJOY
TREASURER
801 SOUTH FOREST
ANN ARBOR MI 48104-3540

Organization’s website HTTP://MIMAME.ORG
Organization’s email MAME@MIMAME.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/1974
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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 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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