FORM 1023-EZ for GLADWIN COUNTY LEADERSHIP PROGRAM INC

Field Data
EIN 35-2522130
Case Number EO-2015233-000084
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GLADWIN COUNTY LEADERSHIP PROGRAM INC
Organization’s Mailing Address PO BOX 209
City GLADWIN
State MI
ZIP 48624
Accounting period End 5
Primary contact name CORRINE WOOD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CORRINE WOOD
PRESIDENT
4355 PLEASANT VIEW DRIVE
GLADWIN MI 48624-9266

Officer/Director/Trustee Two

ROBERT MOFFIT JR
TREASURER
5275 MAST LANE
GLADWIN MI 48624-9444

Officer/Director/Trustee Three

KAREN BLATT
SECRETARY
200 LAKEVIEW DRIVE
BEAVERTON MI 48612-8108

Officer/Director/Trustee Four

BEVERLY PRZYSTAS
VOTING MEMBER
4355 WEST PRATT LAKE ROAD
GLADWIN MI 48624-7603

Officer/Director/Trustee Five

DONNA RIDLEY
VOTING MEMBER
235 NORTH BOWERY AVENUE
GLADWIN MI 48624-1477

Organization’s website
Organization’s email LEADERSHIPGLADWINCO@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/25/2015
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W70 - Leadership Development
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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