FORM 1023-EZ for COUNTRYMEN VETERANS MOTORCYCLE CLUB

Field Data
EIN 47-3857365
Case Number EO-2015131-000259
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COUNTRYMEN VETERANS MOTORCYCLE CLUB
Organization’s Mailing Address 7869 SILSBY ROAD
City ROSCOMMON
State MI
ZIP 48653
Accounting period End 4
Primary contact name MICHAEL KRUG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL PALMER
PRESIDENT
351 NORTH SQUIRREL ROAD 177
AURBURN HILLS MI 48326

Officer/Director/Trustee Two

REECE WORKMAN
VICE PRESIDENT
30235 SPAIN COURT
ROMULUS MI 48174

Officer/Director/Trustee Three

MICHAEL KRUG
SECRETARY/TRES
7869 SILSBY ROAD
ROSCOMMON MI 48653

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/2015
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
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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