FORM 1023-EZ for PFAS ALLIANCE
| Field | Data |
|---|---|
| EIN | 84-2332811 |
| Case Number | EO-2019192-000317 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PFAS ALLIANCE |
| Organization’s Mailing Address | 2701 REEDS LAKE BLVD SE |
| City | GRAND RAPIDS |
| State | MI |
| ZIP | 49506 |
| Accounting period End | 12 |
| Primary contact name | A J BIRKBECK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ALBERT BIRKBECK
MANAGING DIRECTOR
2701 REEDS LAKE BLVD SE
GRAND RAPIDS MI 49506
Officer/Director/Trustee Two
RICHARD REDISKE
DIRECTOR
12080 68TH AVENUE
ALLENDALE MI 49401
Officer/Director/Trustee Three
ANTHONY SPANIOLA
DIRECTOR
5440 CORPORATE DRIVE SUITE 250
TROY MI 48098
| Organization’s website | WWW.PFASALLIANCE.ORG |
|---|---|
| Organization’s email | INFO@PFASALLIANCE.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/31/19 |
| Organization Incorporation State | MI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | C01 - Alliance/Advocacy Organizations |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes Literary: No Public Safety: No Amateur Sports: No Cruelty Prevention: No |
| Qualify For Exemption | No |
| Legislation influence | Yes |
| Compensation of Officer director trustee | Yes |
| 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 | ALBERT BIRKBECK |
| Signature Title | MANAGING DIRECTOR |
| Signature Date | 7/9/19 |
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