FORM 1023-EZ for SHAKIN NOT STIRRED

Field Data
EIN 82-3663749
Case Number EO-2018017-000185
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHAKIN NOT STIRRED
Organization’s Mailing Address 5136 FOXHILL LANE
City MONROE
State MI
ZIP 48161-4560
Accounting period End 12
Primary contact name ERIC SLOAT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER TRAVER
PRESIDENT
5136 FOXHILL LANE
MONROE MI 48161

Officer/Director/Trustee Two

HOLLY FRANKHOUSE
TREASURER
5127 SOUTHPOINTE PKWY
MONROE MI 48161

Officer/Director/Trustee Three

ABIGAIL ANTEAU
VICE PRESIDENT
562 TOWER VIEW CT
TEMPERANCE MI 48182

Officer/Director/Trustee Four

ANITA SIMON
SECRETARY
4 EAST POINSETTA
TOLEDO OH 43612

Officer/Director/Trustee Five

JACQUELINE KONTOROUSIS
DIRECTOR
4407 OAK TRAIL
FENTON MI 48430

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/6/17
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G50 - Nerve, Muscle and Bone Diseases
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 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 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 JENNIFER TRAVER
Signature Title PRESIDENT
Signature Date 1/15/18

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