FORM 1023-EZ for BERG-LAHSER COMMUNITY ASSOCIATION

Field Data
EIN 38-3071419
Case Number EO-2020043-000439
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BERG-LAHSER COMMUNITY ASSOCIATION
Organization’s Mailing Address 19312 BEAVERLAND
City DETROIT
State MI
ZIP 48219
Accounting period End 12
Primary contact name PAMELA SAMUEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAMELA SAMUEL
PRESIDENT
19312 BEAVERLAND
DETROIT MI 48219

Officer/Director/Trustee Two

KENNETH TROUPE
VICE PRESIDENT
20308 ALDERTON
DETROIT MI 48219

Officer/Director/Trustee Three

LOLITA HALEY
SECRETARY
19312 BEAVERLAND
DETROIT MI 48219

Officer/Director/Trustee Four

CAROLYN JONES
TREASUER
19451 BEAVERLAND
DETROIT MI 48219

Officer/Director/Trustee Five

ELBE DUNSON
SGT. AT ARMS
19587 BEAVERLAND
DETROIT MI 48219

Organization’s website HTTPS://WWW.BERGLAHSERCOMMUNITY.ORG
Organization’s email BERG.LAHSER.COMMUNITY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/12/1984
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S22 - Neighborhood, Block Associations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PAMELA SAMUEL
Signature Title PRESIDENT
Signature Date 2/10/2020

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