FORM 1023-EZ for MONTCALM PREVENTION COLLABORATIVE INC

Field Data
EIN 83-2736605
Case Number EO-2019036-000962
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MONTCALM PREVENTION COLLABORATIVE INC
Organization’s Mailing Address 611 N STATE ST
City STANTON
State MI
ZIP 48888
Accounting period End 9
Primary contact name KATHLEEN DUNNE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARI OCONNOR
PRESIDENT
621 NEW ST
STANTON MI 48888

Officer/Director/Trustee Two

AMY OBRIEN
VICE PRESIDENT
101 N LAFAYETTE ST
GREENVILLE MI 48838

Officer/Director/Trustee Three

MELISSA BOWERMAN
TREASURER
615 N STATE ST
STANTON MI 48888

Officer/Director/Trustee Four

DONNY NORWICKI
SECRETARY
710 N STATE ST
STANTON MI 48888

Officer/Director/Trustee Five

MADISON MCCRUMB
DIRECTOR
313 CLARK ST APT 7
LAKEVIEW MI 48850

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
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 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 CARI OCONNOR
Signature Title PRESIDENT
Signature Date 1/22/19

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