FORM 1023-EZ for NORTHWEST MICHIGAN PEER NETWORK

Field Data
EIN 85-3868051
Case Number EO-2020321-000495
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHWEST MICHIGAN PEER NETWORK
Organization’s Mailing Address 9912 CROOKED LAKE RD
City LAKE CITY
State MI
ZIP 49651
Accounting period End 12
Primary contact name COBEY TAYLOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

COBEY TAYLOR
PRESIDENT
9912 CROOKED LAKE RD
LAKE CITY MI 49651

Officer/Director/Trustee Two

KATHRYN DUNKLOW
SECRETARY/TREASURER
2264 N STALLMAN RD
SUTTONS BAY MI 49682

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/21/2020
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F99 - Mental Health, Crisis Intervention N.E.C.
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 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 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 KATHRYN DUNKLOW
Signature Title SECRETARY/TREASURER
Signature Date 11/12/2020

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