FORM 1023-EZ for PERRY HARLEY-DAVIDSON COMMUNITY FOUNDATION

Field Data
EIN 81-3454306
Case Number EO-2017044-000168
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PERRY HARLEY-DAVIDSON COMMUNITY FOUNDATION
Organization’s Mailing Address 5465 S SPRINKLE RD
City PORTAGE
State MI
ZIP 49002-9753
Accounting period End 12
Primary contact name TONY THOMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TONY THOMPSON
PRESIDENT
44108 60TH AVE
PAW PAW MI 49079-9736

Officer/Director/Trustee Two

JILL PERRY
SECRETARY
11726 S 12TH ST
SCHOOLCRAFT MI 49087

Officer/Director/Trustee Three

RICHARD PERRY
TREASURER
5331 S SPRINKLE RD
PORTAGE MI 49002-9753

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2017
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 Yes
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 Yes
One Third Support Gifts No
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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