FORM 1023-EZ for HASLETT ROBOTICS CLUB

Field Data
EIN 30-0798554
Case Number EO-2015119-000353
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HASLETT ROBOTICS CLUB
Organization’s Mailing Address PO BOX 428
City HASLETT
State MI
ZIP 48840
Accounting period End 12
Primary contact name STEVEN SNEED
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

STEVEN SNEED
CHAIR
6716 ENGLISH OAK
EAST LANSING MI 48823

Officer/Director/Trustee Two

CLAUS BUCHHOLZ
VICE CHAIR
1763 PINE CREEK CIRCLE
HASLETT MI 48840

Officer/Director/Trustee Three

TODD WILSON
VICE CHAIR
1897 WILDER ST
HASLETT MI 48840

Officer/Director/Trustee Four

CHRISTINA DEJONG
SECRETARY
6603 WHITE CLOVER
EAST LANSING MI 48823

Officer/Director/Trustee Five

AMY ROWLEY
TREASURER
8630 WARNER RD
HASLETT MI 48840

Organization’s website HASLETTROBOTICS.COM
Organization’s email HASLETTROBOTICS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/2013
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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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