FORM 1023-EZ for ENERGY-101 INC

Field Data
EIN 47-2068217
Case Number EO-2015050-000266
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ENERGY-101 INC
Organization’s Mailing Address 650 ABERDEEN NE
City GRAND RAPIDS
State MI
ZIP 49505-3636
Accounting period End 12
Primary contact name CALVIN VRUGGINK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CALVIN VRUGGINK
EXECUTIVE DIRECTOR
650 ABERDEEN NE
GRAND RAPIDS MI 49505-3636

Officer/Director/Trustee Two

JOHN CATLIN
SECRETARY
4865 E MEADOWS COURT SE
GRAND RAPIDS MI 49546-8248

Officer/Director/Trustee Three

CHRISTINE WEBSTER
EDUCATION CONSULTANT
1851 LESTER LANE
HUDSONVILLE MI 49426-9426

Organization’s website ENERGY-101.ORG
Organization’s email INFO@ENERGY-101.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/6/2014
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: No
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 Yes
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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