FORM 1023-EZ for GRAND TRAVERSE MENS SHED

Field Data
EIN 61-1843032
Case Number EO-2017121-000139
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRAND TRAVERSE MENS SHED
Organization’s Mailing Address 3171 LAMP POST LANE
City TRAVERSE CITY
State MI
ZIP 49685-9064
Accounting period End 12
Primary contact name JIM NOVAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JIM NOVAK
PRESIDENT/SECRETARY, DIRECTOR
3171 LAMP POST LANE
TRAVERSE CITY MI 49685-9064

Officer/Director/Trustee Two

JERRY FIELSTRA
DIRECTOR
938 CARVER ST
TRAVERSE CITY MI 49686-4216

Officer/Director/Trustee Three

RON ELENBAAS
DIRECTOR
2705 OLD FARM LANE
TRAVERSE CITY MI 49685-9064

Officer/Director/Trustee Four

DARRELL POTTER
DIRECTOR
4314 HEARTHSIDE DR
TRAVERE CITY MI 49684-7980

Organization’s website
Organization’s email GTMENSHED@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/11/2017
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S82 - Men's Service Clubs
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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