FORM 1023-EZ for KEEPERS OF THE SHIAWASSEE INC

Field Data
EIN 82-0765886
Case Number EO-2017194-000241
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KEEPERS OF THE SHIAWASSEE INC
Organization’s Mailing Address 15224 SHIAWASSEE DRIVE
City BYRON
State MI
ZIP 48418-9025
Accounting period End 12
Primary contact name BRUCE ALLAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRAD JACOB
CO-CHAIRMAN
47 CHINKAPIN
FENTON MI 48430-8781

Officer/Director/Trustee Two

GARY MESSENGER
CO-CHAIRMAN
10523 JEWELL ROAD
GAINES MI 48436-9721

Officer/Director/Trustee Three

BRUCE ALLAN
TREASURER
15224 SHIAWASSEE DRIVE
BYRON MI 48418-9025

Officer/Director/Trustee Four

BETHANY JACOB
SECRETARY
47 CHINKAPIN
FENTON MI 48430-8781

Organization’s website KEEPERSOFTHESHIAWASSEE.COM
Organization’s email BTALLAN@CHARTER.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2017
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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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