FORM 1023-EZ for 100 CLUB OF CHEBOYGAN COUNTY INC

Field Data
EIN 45-1793835
Case Number EO-2018345-000206
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 100 CLUB OF CHEBOYGAN COUNTY INC
Organization’s Mailing Address 3167 CHIPPEWA BEACH ROAD
City INDIAN RIVER
State MI
ZIP 49749
Accounting period End 12
Primary contact name BOBBI BALAZOVIC
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEONARD PAGE
PRESIDENT
9482 PAGE ROAD
CHEBOYGAN MI 49721

Officer/Director/Trustee Two

BOBBI BALAZOVIC
TREASURER
3167 CHIPPEWA BEACH ROAD
INDIAN RIVER MI 49749

Officer/Director/Trustee Three

RALPH OCHS
DIRECTOR
5631 E MAIN STREET
WOLVERINE MI 49799

Officer/Director/Trustee Four

BRUCE GAUTHIER
DIRECTOR
114 N E STREET
CHEBOYGAN MI 49721

Officer/Director/Trustee Five

TIMOTHY MACARTHUR
DIRECTOR
9126 N STRAITS HWY
CHEBOYGAN MI 49721

Organization’s website 100CLUBOFCHEBOYGANCOUNTY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/4/11
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y12 - Fund Raising and/or Fund Distribution
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 Yes
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 TIMOTHY MACARTHUR
Signature Title DIRECTOR
Signature Date 12/7/18

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