FORM 1023-EZ for ADAPT FIT

Field Data
EIN 83-3595156
Case Number EO-2019056-000275
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADAPT FIT
Organization’s Mailing Address 203 W BENNETT ST
City SALINE
State MI
ZIP 48176
Accounting period End 12
Primary contact name DILLON WILDE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DILLON WILDE
PRESIDENT
203 W BENNETT ST
SALINE MI 48176

Officer/Director/Trustee Two

MEGHAN COLEMAN
VICE PRESIDENT
5572 JUSTIN CT
YPSILANTI MI 48197

Officer/Director/Trustee Three

LYNDSAY REYNOLDS
SECRETARY
387 EASTLOOK DR
SALINE MI 48176

Officer/Director/Trustee Four

AMY YAKLICH
TREASURER
1447 BICENTENNIAL PKY
ANN ARBOR MI 48108

Officer/Director/Trustee Five

IAN STURMS
BOARD MEMBER
353 WASHINGTON ST
DUNDEE MI 48131

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/19/19
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DILLON WILDE
Signature Title PRESIDENT
Signature Date 2/21/19

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