FORM 1023-EZ for MID COUNTY BOW HUNTERS CLUB

Field Data
EIN 82-0875661
Case Number EO-2017086-000528
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MID COUNTY BOW HUNTERS CLUB
Organization’s Mailing Address W4593 OLD 352RD
City STEPHENSON
State MI
ZIP 49887-9301
Accounting period End 1
Primary contact name TRAVIS BUELTEMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRAVIS BUELTEMAN
PRESIDENT
W4593 OLD 352RD
STEEPHENSON MI 49887-9301

Officer/Director/Trustee Two

JESSY HOPPY
VICE PRESIDENT
N5935
WALLACE MI 49893

Officer/Director/Trustee Three

AMBER BUELTEMAN
SECRETARY
W4593 OLD 352RD
STEPHENSON MI 49887-9301

Officer/Director/Trustee Four

KIMBERLY HOPPY
TREASURER
W4593 OLD 352RD
WALLACE MI 49893

Officer/Director/Trustee Five

ANDREW DAVIS
TRUSTEE
N5530 N1RD
WALLACE MI 49893

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/2/2017
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N61 - Fishing, Hunting Clubs
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 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
Signature Title
Signature Date

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