FORM 1023-EZ for CROSAIRES FOUNDATION INC

Field Data
EIN 47-3938426
Case Number EO-2016047-000139
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CROSAIRES FOUNDATION INC
Organization’s Mailing Address 5829 NORTH ZIMMER ROAD
City WILLIAMSTON
State MI
ZIP 48895
Accounting period End 12
Primary contact name TODD WALTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TODD WALTER
PRESIDENT
1808 MAPLE SHADE
WILLIAMSTON MI 48895

Officer/Director/Trustee Two

STEVE BERG
VICE PRESIDENT
124 E SOUTH STREET
WILLIAMSTON MI 48895

Officer/Director/Trustee Three

BARBARA BURKE
SECRETARY
605-3 W GRAND RIVER AVENUE
WILLIAMSTON MI 48895

Officer/Director/Trustee Four

DAN OTOOLE
TREASURER
1857 MAPLE SHADE DRIVE
WILLIAMSTON MI 48895

Officer/Director/Trustee Five

ANN LEMMEN
DIRECTOR
1800 GERMANY ROAD
WILLIAMSTON MI 48895

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/6/2015
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P73 - Group Home (Long Term)
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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