FORM 1023-EZ for MARY K PERROTTA FUND

Field Data
EIN 82-2739023
Case Number EO-2017256-000236
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MARY K PERROTTA FUND
Organization’s Mailing Address 638 PENINSULA COURT
City ANN ARBOR
State MI
ZIP 48105
Accounting period End 12
Primary contact name KEVIN F PERROTTA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN PERROTTA
CHAIRMAN OF BOARD
638 PENINSULA COURT
ANN ARBOR MI 48105-2506

Officer/Director/Trustee Two

MARY PERROTTA
PRESIDENT
900 N DIXBORO RD
ANN ARBOR MI 48105-9413

Officer/Director/Trustee Three

DOMINIC PERROTTA
SECRETARY
7067 STOMMMEL CT
YPSILANTI MI 48198-9667

Officer/Director/Trustee Four

DONALD MIERENDORF
TREASURER
1200 W DAVID KEMPF CT
SALINE MI 48176-9478

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/26/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X22 - Roman Catholic
Organization’s purpose Charitable: No
Religious: Yes
Educational: Yes
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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