FORM 1023-EZ for HIGGINS LAKE COMPREHENSIVE AFFORDABLE SWIMMERS ITCH REDUCTION ORGANIZA

Field Data
EIN 81-2982828
Case Number EO-2016190-000221
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HIGGINS LAKE COMPREHENSIVE AFFORDABLE SWIMMERS ITCH REDUCTION ORGANIZA
Organization’s Mailing Address 101-A BITTERSWEET LANE
City ROSCOMMON
State MI
ZIP 48653
Accounting period End 12
Primary contact name THOMAS KIZER JR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS KIZER JR
PRESIDENT-TREASURER
101-A BITTERSWEET LANE
ROSCOMMON MI 48653

Officer/Director/Trustee Two

WALT MIKULA
VICE-PRESIDENT
10885 OAKWOOD RD
ROSCOMMON MI 48653

Officer/Director/Trustee Three

KELLY KIRKPATRICK
SECRETARY
2215 SOUTHCREST DR
ROSCOMMON MI 48653

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/11/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C32 - Water Resource, Wetlands Conservation and Management
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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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