FORM 1023-EZ for YOUNG PROFESSIONALS FROM THE HEARTOF NORTHERN MICHIGAN

Field Data
EIN 47-4533207
Case Number EO-2016279-000123
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name YOUNG PROFESSIONALS FROM THE HEARTOF NORTHERN MICHIGAN
Organization’s Mailing Address 212 1/2 OLD STAGE RD
City ROSCOMMON
State MI
ZIP 48653
Accounting period End 12
Primary contact name ERICA BLAIR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERICA BLAIR
PRESIDENT
212 1/2 OLD STAGE RD
ROSCOMMON MI 48653

Officer/Director/Trustee Two

CAITLIN TYLER
VICE PRESIDENT/TREASURER
131 WHITE BIRCH
HOUGHTON LAKE MI 48653

Officer/Director/Trustee Three

CASEY ADAMS
SECRETARY
9038 HEIDEMAN RD
ROSCOMMON MI 48653

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/6/2015
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S03 - Professional Societies, Associations
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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