FORM 1023-EZ for MID MICHIGAN POLICE CANINE ASSOCIATION

Field Data
EIN 30-0858073
Case Number EO-2015072-000662
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MID MICHIGAN POLICE CANINE ASSOCIATION
Organization’s Mailing Address 440 BUCKINGHAM AVENUE
City FLINT
State MI
ZIP 48507
Accounting period End 12
Primary contact name JEFF ANTCLIFF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEFF ANTCLIFF
PRESIDENT
440 BUCKINGHAM
FLINT MI 48507

Officer/Director/Trustee Two

NICK PAUL
TREASURER
11452 N BELSAY
CLIO MI 48420

Officer/Director/Trustee Three

MARK HARRISON
SECRETARY
8387 COLDWATER RD
FLUSHING MI 48433

Officer/Director/Trustee Four

JEFF ISKI
DIRECTOR
13086 MARSHALL RD
MONTROSE MI 48457

Officer/Director/Trustee Five

NEAL DONOVAN
DIRECTOR
10334 CALKINS RD
SWARTZ CREEK MI 48473

Organization’s website
Organization’s email CLIFFYGOBLUE357@AOL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/17/1998
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M99 - Public Safety, Disaster Preparedness, and Relief N.E.C.
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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