FORM 1023-EZ for MIDWEST CISSE CHAPTER

Field Data
EIN 81-3237445
Case Number EO-2019120-000119
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MIDWEST CISSE CHAPTER
Organization’s Mailing Address 49004 PACKARD CT
City BELLEVILLE
State MI
ZIP 48111
Accounting period End 12
Primary contact name TAMARA SHOEMAKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMARA SHOEMAKER
PRESIDENT
49004 PACKARD CT
BELLEVILLE MI 48111

Officer/Director/Trustee Two

DANIEL SHOEMAKER
TREASURER
49004 PACKARD CT
BELLEVILLE MI 48111

Officer/Director/Trustee Three

BRAD WILKERSON
DIRECTOR
122 SILL HILL
YPSILANTI MI 48197

Organization’s website WWW.MCISSE.INFO
Organization’s email TAMARASHOE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/14
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 TAMARA SHOEMAKER
Signature Title PRESIDENT
Signature Date 4/28/19

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