FORM 1023-EZ for FAMILY OUTDOOR ADVENTURE CLUB INCORPORATED

Field Data
EIN 45-4791832
Case Number EO-2015224-000228
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FAMILY OUTDOOR ADVENTURE CLUB INCORPORATED
Organization’s Mailing Address 15508 FAIRFIELD
City LIVONIA
State MI
ZIP 48154
Accounting period End 12
Primary contact name DAVID JANDA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SALLY LOLLIE
BOARD MEMBER
32061 LICOLNSHIRE LN
FRASER MI 48026

Officer/Director/Trustee Two

KAREN TAMM-GEDZ
BOARD MEMBER
3095 GROVE ST
KEEGO HARBOR MI 48320

Officer/Director/Trustee Three

DAVID JANDA
PRESIDENT
15508 FAIRFIELD
LIVONIA MI 48154

Organization’s website WWW.FAMILYOUTDOORADVENTURECLUB.ORG
Organization’s email DAVID@FAMILYOUTDOORADVENTURECLUB.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/2012
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 Yes
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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