FORM 1023-EZ for NORTH COUNTRY BRUISERS

Field Data
EIN 83-1818337
Case Number EO-2019273-000478
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTH COUNTRY BRUISERS
Organization’s Mailing Address 131 BANSHEE
City GWINN
State MI
ZIP 49841
Accounting period End 12
Primary contact name LUCY ELAINE HEWITT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DELLERY LEHTO
CHAIR
116 N PIONEER AVE
NEGAUNEE MI 49866

Officer/Director/Trustee Two

DANI JAKLIN
VICE CHAIR
156 CO RD ML
NEGAUNEE MI 49866

Officer/Director/Trustee Three

KRISTIANNA HARRIS PFAFFLE
TREASURER
131 BANSHEE
GWINN MI 49841

Officer/Director/Trustee Four

LUCY ELAINE HEWITT
SECRETARY
124 RIDGEWOOD DR
MARQUETTE MI 49855

Organization’s website
Organization’s email NORTHCOUNTRYBRUISERS@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/19/19
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 LUCY ELAINE HEWITT
Signature Title SECRETARY
Signature Date 9/27/19

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