FORM 1023-EZ for LOWELL HIGH SCHOOL SCHOLASTIC CLAY TARGET PROGRAM

Field Data
EIN 46-2922444
Case Number EO-2016351-000207
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LOWELL HIGH SCHOOL SCHOLASTIC CLAY TARGET PROGRAM
Organization’s Mailing Address 12024 4 MILE ROAD NE
City LOWELL
State MI
ZIP 49331
Accounting period End 12
Primary contact name AARON ROTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AARON ROTH
PRESIDENT
12024 4 MILE RD NE
LOWELL MI 49331-9743

Officer/Director/Trustee Two

ROGER MARKS
VICE PRESIDENT
2020 PARNELL AVE SE
ADA MI 49301-8913

Officer/Director/Trustee Three

SARAH HUDSON
SECRETARY
12200 DOWNES ST
LOWELL MI 49331-9152

Officer/Director/Trustee Four

AMY ETTINGER
TREASURER
3947 MURRAY VIEW DR
LOWELL MI 49331-9728

Organization’s website
Organization’s email LHSSHOOTS@HOTMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/6/2013
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 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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