FORM 1023-EZ for MICHIGAN SANTA HOUSE

Field Data
EIN 81-4066143
Case Number EO-2016312-000596
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MICHIGAN SANTA HOUSE
Organization’s Mailing Address 4854 E GRAND RIVER AVE
City PORTLAND
State MI
ZIP 49875
Accounting period End 4
Primary contact name KELLY SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN SMITH
PRESIDENT
4854 E GRAND RIVER AVE
PORTLAND MI 48875

Officer/Director/Trustee Two

KELLY SMITH
TREASURER
4854 E GRAND RIVER AVE
PORTLAND MI 48875

Officer/Director/Trustee Three

SUSAN KORLOCH
SECRETARY
1832 WILLOW CREEK DRIVE
LANSING MI 48917

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/22/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A27 - Community Celebrations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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
Signature Title
Signature Date

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