FORM 1023-EZ for BUCHANAN FLOOR HOCKEY

Field Data
EIN 81-3464262
Case Number EO-2017003-000108
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BUCHANAN FLOOR HOCKEY
Organization’s Mailing Address PO BOX 237
City BUCHANAN
State MI
ZIP 49107
Accounting period End 12
Primary contact name LISA WEINBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER DICKSON
PRESIDENT
PO BOX 237
BUCHANAN MI 49107

Officer/Director/Trustee Two

TODD MCNEELY
VICE PRESIDENT
PO BOX 237
BUCHANAN MI 49107

Officer/Director/Trustee Three

SEAN OVERMYER
TREASURER
PO BOX 237
BUCHANAN MI 49107

Officer/Director/Trustee Four

LISA WEINBERG
SECRETARY
PO BOX 237
BUCHANAN MI 49107

Officer/Director/Trustee Five

STACEY CARLIN
PUBLIC RELATIONS LIAISON
PO BOX 237
BUCHANAN MI 49107

Organization’s website BUCHANANFLOORHOCKEY.COM
Organization’s email BUCHANANFLOORHOCKEY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/15/2016
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 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 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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