FORM 1023-EZ for CABIN-TIME

Field Data
EIN 47-1567697
Case Number EO-2015175-000239
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CABIN-TIME
Organization’s Mailing Address 17 LAFAYETTE SE APT N9
City GRAND RAPIDS
State MI
ZIP 49503
Accounting period End 12
Primary contact name RYAN GREAVES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GEOFFREY HOLSTAD
PRESIDENT/DIRECTOR
215 E EUCALYPTUS ST
OJAI CA 93023

Officer/Director/Trustee Two

RYAN GREAVES
TREASURER/DIRECTOR
17 LAFYETTE SE APT N9
GRAND RAPIDS MI 49503

Officer/Director/Trustee Three

MARY ROTHLISBERGER
SECRETARY/DIRECTOR
PO BOX 364
PALOUSE WA 99161

Officer/Director/Trustee Four

CHARLOTTE SULLIVAN
DIRECTOR
602 LINCOLN PLACE APT 1
BROOKLYN NY 11216

Officer/Director/Trustee Five

ADAM WEILER
DIRECTOR
279 WEST 15TH ST
HOLLAND MI 49423

Organization’s website CABIN-TIME.ORG
Organization’s email CABINTIMEARTCAMP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/2014
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 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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