FORM 1023-EZ for PHI ETA SIGMA

Field Data
EIN 26-3839233
Case Number EO-2014297-000555
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PHI ETA SIGMA
Organization’s Mailing Address UNIVERSITY CENTER SOC BOX 15
City MOUNT PLEASANT
State MI
ZIP 48859
Accounting period End 12
Primary contact name AMANDA BUZARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THOMAS JURY
PRESIDENT
UNIVERSITY CENTER SOC BOX 15
MOUNT PLEASANT MI 48859

Officer/Director/Trustee Two

MEGAN BRODERICK
VICE PRESIDENT
UNIVERSITY CENTER SOC BOX 15
MOUNT PLEASANT MI 48859

Officer/Director/Trustee Three

KIMBERLY KOROLESKI
TREASURER
UNIVERSITY CENTER SOC BOX 15
MOUNT PLEASANT MI 48859

Officer/Director/Trustee Four

AMANDA BUZARD
CHAPTER ADVISOR
UNIVERSITY CENTER SOC BOX 15
MOUNT PLEASANT MI 48859

Organization’s website HTTP://WWW.PHIETASIGMA.ORG/
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/9/1966
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B80 - Student Services, Organizations of Students
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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