FORM 1023-EZ for KEWEENAW BARBELL CLUB INC

Field Data
EIN 81-4185862
Case Number EO-2016300-000357
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KEWEENAW BARBELL CLUB INC
Organization’s Mailing Address 701 SHELDEN AVE - PO BOX 674
City HOUGHTON
State MI
ZIP 49931-0674
Accounting period End 12
Primary contact name PATRICK KING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICK KING
PRESIDENT
47108 GREEN ACRES RD
HOUGHTON MI 49931-9784

Officer/Director/Trustee Two

SARA STUKEL
TREASURER / DIRECTOR
135 S PEWABIC ST
LAURIUM MI 49913-2420

Officer/Director/Trustee Three

KRISTEN KARIAINEN
CHAIRMAN / DIRECTOR
48574 MAIN ST
DOLLAR BAY MI 49922

Officer/Director/Trustee Four

LIANA LAMPELA
SECRETARY / DIRECTOR
903 WOLVERINE ST
HANCOCK MI 49930-1234

Officer/Director/Trustee Five

SHARI BILLECK
DIRECTOR
1042 N AHMEEK ST
MOHAWK MI 49950

Organization’s website N/A
Organization’s email KEWEENAWBARBELLCLUB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/10/2016
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: 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 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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