FORM 1023-EZ for POLISH ROMAN CATHOLIC UNION OF AMERICA MALBORK DANCE GROUP

Field Data
EIN 32-0510940
Case Number EO-2019249-000274
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name POLISH ROMAN CATHOLIC UNION OF AMERICA MALBORK DANCE GROUP
Organization’s Mailing Address 91 STONEHENGE DR SW
City GRANDVILLE
State MI
ZIP 49418
Accounting period End 12
Primary contact name JENNIFER MACEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER MACEK
DIRECTOR
91 STONEHENGE DR SW
GRANDVILLE MI 49418

Officer/Director/Trustee Two

MICHELLE DEBACK
CHOREOGRAPHER
3077 HUNTERS DR
JENISON MI 49428

Officer/Director/Trustee Three

ALICIA HOLBROOK
PRESIDENT
1585 WINSLOW ST NW
GRAND RAPIDS MI 49544

Officer/Director/Trustee Four

AMBER GILLETTE
VICE PRESIDENT
3684 CALKINS CT
WAYLAND MI 49348

Officer/Director/Trustee Five

RICK METCALF
TREASURER/SECRETARY
2128 HALL ST SE
GRAND RAPIDS MI 49506

Organization’s website
Organization’s email MALBORKDANCEGROUP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/16
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A62 - Dance
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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 JENNIFER MACEK
Signature Title DIRECTOR
Signature Date 9/4/19

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