FORM 1023-EZ for EPSILON LAMBDA ALUMNI FOUNDATION

Field Data
EIN 82-4019768
Case Number EO-2018018-000263
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EPSILON LAMBDA ALUMNI FOUNDATION
Organization’s Mailing Address 30624 SUNDERLAND DR
City FARMINGTON HILLS
State MI
ZIP 48331
Accounting period End 12
Primary contact name SHAWN SHIVNEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHAWN SHIVNEN
PRESIDENT
30624
FARMINGTON HILLS MI 48331

Officer/Director/Trustee Two

NICHOLAS RAUBENOLT
VICE PRESIDENT
2441 BERICK DR
CANTON MI 48188

Officer/Director/Trustee Three

MATT PELC
TREASURER
1845 ROPER
ST. CLOUD MI 34769

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/16/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y42 - Domestic Fraternal Societies
Organization’s purpose Charitable: No
Religious: No
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SHAWN SHIVNEN
Signature Title PRESIDENT
Signature Date 1/16/18

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