FORM 1023-EZ for EAST SAUGATUCK CIVIC ASSOCIATION

Field Data
EIN 23-7209101
Case Number EO-2015099-000444
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EAST SAUGATUCK CIVIC ASSOCIATION
Organization’s Mailing Address 5671 - 141ST AVENUE
City HOLLAND
State MI
ZIP 49423
Accounting period End 12
Primary contact name ANDREW PERDOK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ANDREW PERDOK
PRESIDENT
5671 - 141ST AVENUE
HOLLAND MI 49423

Officer/Director/Trustee Two

PAUL HULST
VICE PRESIDENT
6053 - 136TH AVENUE
SAUGATUCK MI 49453

Officer/Director/Trustee Three

BRETT BRINK
SECRETARY
3407 - 58TH STREET
HAMILTON MI 49419

Officer/Director/Trustee Four

JERRY BOSCH
TREASURER
5900 - 134TH AVENUE
HAMILTON MI 49419

Officer/Director/Trustee Five

ERIC HULST
TRUSTEE
5674 - 136TH AVENUE
HAMILTON MI 49419

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/23/1972
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N32 - Parks and Playgrounds
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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