FORM 1023-EZ for GR BUSINESS BREAKFAST INC

Field Data
EIN 46-4987201
Case Number EO-2015134-000223
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GR BUSINESS BREAKFAST INC
Organization’s Mailing Address 6757 CASCADE RD SE-PO BOX 76
City GRAND RAPIDS
State MI
ZIP 49546-6849
Accounting period End 12
Primary contact name MICHAEL TOBUREN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHELLE STEFFES
PRESIDENT
4072 SANDY RIDGE DR
DORR MI 49323-9448

Officer/Director/Trustee Two

ALIX CRISWELL
VICE PRESIDENT
4551 CASCADE RD SE
GRAND RAPIDS MI 49546-8372

Officer/Director/Trustee Three

MIKE JAGER
TREASURER
1863 EGRET DR SW
BYRON CENTER MI 49315-8013

Officer/Director/Trustee Four

LESLIE FIORENZO
DIRECTOR
1400 LEONARD ST NE
GRAND RAPIDS MI 49505-5515

Officer/Director/Trustee Five

MICHAEL TOBUREN
DIRECTOR
1115 TAYLOR AVE NW-STE 110
GRAND RAPIDS MI 49503-1079

Organization’s website WWW.GRBUSINESSBREAKFAST.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/2014
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y03 - Professional Societies, Associations
Organization’s purpose Charitable: Yes
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 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
Signature Title
Signature Date

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