FORM 1023-EZ for LAKEVIEW ATHLETIC BOOSTER CLUB SCHOLARSHIP FOUNDATION

Field Data
EIN 86-1651642
Case Number EO-2021095-000883
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKEVIEW ATHLETIC BOOSTER CLUB SCHOLARSHIP FOUNDATION
Organization’s Mailing Address 28400 RUEHLE ST
City SAINT CLAIR SHORES
State MI
ZIP 48081-1554
Accounting period End 12
Primary contact name GORDON MISKELLY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GORDON MISKELLY
DIRECTOR
28400 RUEHLE ST
SAINT CLAIR SHORES MI 48081-1554

Officer/Director/Trustee Two

LAURA MISKELLY
OFFICER
28400 RUEHLE
ST. CLAIR SHORES MI 48081

Officer/Director/Trustee Three

JODI THOMPSON
OFFICER
TROMBLY
ST. CLAIR SHORES MI 48081

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/2021
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: No
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name GORDON MISKELLY
Signature Title DIRECTOR
Signature Date 3/5/2021

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