FORM 1023-EZ for JACKSON COUNTY BASS ASSASSINS

Field Data
EIN 82-1370084
Case Number EO-2017129-000210
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JACKSON COUNTY BASS ASSASSINS
Organization’s Mailing Address 7561 NAPOLEON ROAD
City JACKSON
State MI
ZIP 49201
Accounting period End 12
Primary contact name DANIEL CURYLO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL CURYLO
PRESIDENT
7561 NAPOLEON ROAD
JACKSON MI 49201-9192

Officer/Director/Trustee Two

ZACHARY BIVINS
VICE PRESIDENT
47 DEEP LAKE
BROOKLYN MI 49230-9000

Officer/Director/Trustee Three

JAMES STINE
SECRETARY
434 SOUTH UNION
PARMA MI 49269-9501

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/28/2014
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N61 - Fishing, Hunting Clubs
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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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