FORM 1023-EZ for PINE RIVER AREA CREATIVITY CLUB

Field Data
EIN 47-1495544
Case Number EO-2015012-000452
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PINE RIVER AREA CREATIVITY CLUB
Organization’s Mailing Address 19876 LEROY ROAD
City LEROY
State MI
ZIP 49655
Accounting period End 7
Primary contact name HEATHER MARKS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HEATHER MARKS
PRESIDENT
19876 LEROY ROAD
LEROY MI 49655

Officer/Director/Trustee Two

JEREMY BEEBE
VICE PRESIDENT
20107 21 MILE ROAD
TUSTIN MI 49688

Officer/Director/Trustee Three

VICTORIA VANAVERY
TREASURER
15585 200TH AVE
LEROY MI 49655

Officer/Director/Trustee Four

STEPHANIE VANAVERY
SECRETARY
15585 200TH AVE
LEROY MI 49655

Officer/Director/Trustee Five

STEVE BLACKRICK
TRUSTEE
19700 11 MILE ROAD
LEROY MI 49655

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/2014
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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
Signature Title
Signature Date

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