FORM 1023-EZ for LIFT TEEN CENTER

Field Data
EIN 84-5028571
Case Number EO-2020196-000413
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LIFT TEEN CENTER
Organization’s Mailing Address PO BOX 527
City SUTTONS BAY
State MI
ZIP 49682
Accounting period End 12
Primary contact name MARILYN RIGGS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REBEKAH TENBRINK
PRESIDENT/DIRECTOR
3600 S LAKE SHORE DRIVE
LAKE LEELANAU MI 49653

Officer/Director/Trustee Two

DEANNA REID
TREASURER
PO BOX 937
SUTTONS BAY MI 49682

Officer/Director/Trustee Three

AUDREY SHARP
SECRETARY/DIRECTOR
PO BOX 115
CEDAR MI 49621

Officer/Director/Trustee Four

GERALD TENBRINK
OFFICER
3600 S LAKE SHORE DRIVE
LAKE LEELANAU MI 49653

Officer/Director/Trustee Five

KATHY EGAN
OFFICER
401 W BROADWAY
SUTTONS BAY MI 49682

Organization’s website HTTP://WWW.LIFTYOUTHSB.COM
Organization’s email LIFTYOUTHSB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/2020
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 REBEKAH TENBRINK
Signature Title PRESIDENT/DIRECTOR
Signature Date 6/12/2020

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