FORM 1023-EZ for UNIVERSITY OF MICHIGAN ALUMNI CLUBOF TAMPA BAY

Field Data
EIN 80-0574367
Case Number EO-2019122-000147
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UNIVERSITY OF MICHIGAN ALUMNI CLUBOF TAMPA BAY
Organization’s Mailing Address 601 N ASHLEY DR 310
City TAMPA
State FL
ZIP 33602
Accounting period End 6
Primary contact name TIM BOWER RODRIGUEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN SIMONE
CO-PRESIDENT
601 N ASHLEY DR 310
TAMPA FL 33602

Officer/Director/Trustee Two

KEN ROGERS
CO-PRESIDENT
601 N ASHLEY DR 310
TAMPA FL 33602

Officer/Director/Trustee Three

DEB ROGERS
TREASURER
601 N ASHLEY DR 310
TAMPA FL 33602

Officer/Director/Trustee Four

PAUL CEASE
VICE-PRESIDENT
601 N ASHLEY DR 310
TAMPA FL 33602

Officer/Director/Trustee Five

TERRI KENNEDY
SECRETARY
601 N ASHLEY DR 310
TAMPA FL 33602

Organization’s website
Organization’s email TIMWEB@BOWERRODRIGUEZ.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/07
Organization Incorporation State FL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B84 - Alumni Associations
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOHN SIMONE
Signature Title CO-PRESIDENT
Signature Date 4/30/19

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