FORM 1023-EZ for SALEM GIRLS TRACK BOOSTER CLUB

Field Data
EIN 46-3489164
Case Number EO-2017025-000033
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SALEM GIRLS TRACK BOOSTER CLUB
Organization’s Mailing Address 4134 POND RUN
City CANTON
State MI
ZIP 48188
Accounting period End 12
Primary contact name EILEEN MCCANN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EILEEN MCCANN
PRESIDENT
11776 DEERCREEK RUN
PLYMOUTH MI 47170

Officer/Director/Trustee Two

LISA OGAREK
TREASURER
4134 POND RUN
CANTON MI 48188

Officer/Director/Trustee Three

TARA JEFFRESS
VICE PRESIDENT
49938 CHERRY HILL
CANTON MI 48187

Officer/Director/Trustee Four

BRECK WAGGONER
SECRETARY
50320 HANFORD
CANTON MI 48187-4611

Officer/Director/Trustee Five

PATRICK IGNAGNI
NON VOTING MEMBER
927 NORTH MACOMB ST
MONROE MI 48162

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/23/2013
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - Single Organization Support
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 Yes
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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