FORM 1023-EZ for MEMSPA FOUNDATION INC

Field Data
EIN 47-2344508
Case Number EO-2014345-000371
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MEMSPA FOUNDATION INC
Organization’s Mailing Address 1980 NORTH COLLGE RD
City MASON
State MI
ZIP 48854
Accounting period End 6
Primary contact name LAURA E JOHNSON ESQ BUTZEL LONG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PAUL LIABENOW
DIRECTOR AND PRESIDENT
1980 NORTH COLLEGE RD
MASON MI 48854

Officer/Director/Trustee Two

ROBERT KAUFFMAN
DIRECTOR
23800 TUCK ROAD
FARMINGTON MI 48336

Officer/Director/Trustee Three

BARBARA WATKINS
DIRECTOR SECRETARY AND TREASURER
3193 KARI CIRCLE
DEWITT MI 48820

Officer/Director/Trustee Four

CHARLES SHULTZ
DIRECTOR
3350 PESHTIGO DR SW
GRANDVILLE MI 49418

Officer/Director/Trustee Five

ROGER MOORE
DIRECTOR
12456 PINECREST DR
PLYMOUTH MI 48170

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2014
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - 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 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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