FORM 1023-EZ for PADDLE ANTRIM

Field Data
EIN 47-1402648
Case Number EO-2014220-000150
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PADDLE ANTRIM
Organization’s Mailing Address 308 E CAYUGA
City BELLAIRE
State MI
ZIP 49615
Accounting period End 12
Primary contact name PATTI SAVANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MATT DRAKE
PRESIDENT
211 INDUSTRIAL PARK DRIVE
ELK RAPIDS MI 49629

Officer/Director/Trustee Two

PATTI SAVANT
TREASURER
308 E CAYUGA
BELLAIRE MI 49615

Officer/Director/Trustee Three

MEGAN OLDS
DIRECTOR
3860 N LONG LAKE ROAD SUITE D
TRAVERSE CITY MI 49684

Officer/Director/Trustee Four

MARY FACULAK
DIRECTOR
100 MAIN STREET SUITE B
EAST JORDAN MI 49727

Officer/Director/Trustee Five

LESLIE MYERS
DIRECTOR
PO BOX 689
BELLAIRE MI 49615

Organization’s website N/A
Organization’s email MATT@SHORTSBREWING.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/29/2014
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
Organization’s purpose Charitable: Yes
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 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 Yes
One Third Support Gifts No
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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