FORM 1023-EZ for DISSENT

Field Data
EIN 47-3116552
Case Number EO-2015146-000217
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DISSENT
Organization’s Mailing Address 824 CADILLAC SE
City GRAND RAPIDS
State MI
ZIP 49506
Accounting period End 6
Primary contact name BRANDEN PECOR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRANDEN PECOR
PRESIDENT
824 CADILLAC SE
GRAND RAPIDS MI 49506

Officer/Director/Trustee Two

CHRISTINE BURNS
TREASURER
11163 NORTH DIVISION AVENUE SE
SPARTA MI 49345

Officer/Director/Trustee Three

SHANDA VAUGHN
SECRETARY
3550 BURTON RIDGE ROAD SE APT F
GRAND RAPIDS MI 49546

Organization’s website WWW.DISSENTFROMNORM.WEEBLY.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/29/2015
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A25 - Arts Education
Organization’s purpose Charitable: Yes
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
Signature Title
Signature Date

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