FORM 1023-EZ for TROY ROBOTICS INC

Field Data
EIN 84-3131427
Case Number EO-2019268-000273
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TROY ROBOTICS INC
Organization’s Mailing Address 4600 FORSYTH DR
City TROY
State MI
ZIP 48085
Accounting period End 1
Primary contact name JACK ENGLUND
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFREY BLAKELY
PRESIDENT
2349 TEROVA DRIVE
TROY MI 48085

Officer/Director/Trustee Two

MATTHEW SACKRISON
TREASURER
4621 MILL POND D
TROY MI 48085

Officer/Director/Trustee Three

STEPHEN SMITKA
SECRETARY
2207 CUMBERLAND DR
TROY MI 48085

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/19
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 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 JEFFREY BLAKELY
Signature Title PRESIDENT
Signature Date 9/23/19

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