FORM 1023-EZ for LAKESHORE AMATEUR HOCKEY ASSOCIATION

Field Data
EIN 82-4379874
Case Number EO-2021250-000533
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKESHORE AMATEUR HOCKEY ASSOCIATION
Organization’s Mailing Address 4470 AIRLINE RD
City MUSKEGON
State MI
ZIP 49444
Accounting period End 7
Primary contact name RYAN ALTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN ALTER
PRESIDENT
18942 N FRUITPORT RD
SPRING LAKE MI 49456

Officer/Director/Trustee Two

MICHAEL CULLETON
VICE-PRESIDENT
15072 WATERLEAF CT
SPRING LAKE MI 49456

Officer/Director/Trustee Three

STACY HARTZELL
TREASURER
2006 MICHILLINDA ROAD
TWIN LAKE MI 49457

Officer/Director/Trustee Four

DAVID BURDO
SECRETARY
16381 W WILLOW DR
SPRING LAKE MI 49456

Officer/Director/Trustee Five

KEVIN POULIN
REGISTRAR
16399 HARWOOD LN
SPRING LAKE MI 49456

Organization’s website WWW.LAKESHORECHIEFS.ORG
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/2017
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N68 - Winter Sports (Snow and Ice)
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration No
Signature Name RYAN ALTER
Signature Title PRESIDENT
Signature Date 9/4/2021
EIN 82-4379874
Case Number EO-2018054-000241
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKESHORE AMATEUR HOCKEY ASSOCIATION
Organization’s Mailing Address 4470 AIRLINE RD
City MUSKEGON
State MI
ZIP 49444-4209
Accounting period End 7
Primary contact name PAUL TIEFENTHAL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PAUL TIEFENTHAL
PRESIDENT
4470 AIRLINE RD
MUSKEGON MI 49444-4209

Officer/Director/Trustee Two

DANA ANTHONY
SECRETARY / TREASURER
5170 GAY ST
MUSKEGON MI 49441-5724

Organization’s website LAKESHORESPORTSCENTRE.NET
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/17
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 PAUL TIEFENTHAL
Signature Title PRESIDENT
Signature Date 2/21/18

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