FORM 1023-EZ for BENTON TOWNSHIP EMERGENCY SERVICES

Field Data
EIN 26-1354149
Case Number EO-2014231-000026
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BENTON TOWNSHIP EMERGENCY SERVICES
Organization’s Mailing Address 4713 HARTEL
City POTTERVILLE
State MI
ZIP 48876
Accounting period End 12
Primary contact name RON KLINE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RON KLINE
PRESIDENT
4173 E GRESHAM HWY
POTTERVILLE MI 48876

Officer/Director/Trustee Two

JAMES ROBERTSON
1ST VICE PRESIDENT
5541 WINDSOR HWY
POTTERVILLE MI 48876

Officer/Director/Trustee Three

CONNIE ARNDT
2ND VICE PRESIDENT
7687 ONEIDA RD
GRAND LEDGE MI 48837

Officer/Director/Trustee Four

DONALD BUCK
TREASURER
152 MEMORIAL DR
POTTERVILLE MI 48876

Officer/Director/Trustee Five

SCOTT RICE
SECRETARY
13065 CENTER RD
BATH MI 48808

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/15/2014
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S12 - Fund Raising and/or Fund Distribution
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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