FORM 1023-EZ for MID-MICHIGAN IIBA CHAPTER

Field Data
EIN 82-5066337
Case Number EO-2018155-000236
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MID-MICHIGAN IIBA CHAPTER
Organization’s Mailing Address 484 RIVERWALK DRIVE
City MASON
State MI
ZIP 48854-9381
Accounting period End 12
Primary contact name LEZA REBERA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LEZA REBERA
PRESIDENT
484 RIVERWALK DR
MASON MI 48854-9381

Officer/Director/Trustee Two

BRENDA LEONARD
VICE-PRESIDENT
9105 BARNES RD
PORTLAND MI 48875-9604

Officer/Director/Trustee Three

TAMMELLA PRESTON
TREASURER
3755 EDGAR RD
LESLIE MI 49251-9779

Officer/Director/Trustee Four

JEANETTE CLARK
SECRETARY
6085 OAKPARK TRAIL
HASLETT MI 48840-8985

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J03 - Professional Societies, Associations
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 LEZA REBERA
Signature Title PRESIDENT
Signature Date 5/31/18

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