FORM 1023-EZ for LAKESHORE COMMUNITY PRIDE INC

Field Data
EIN 85-3816914
Case Number EO-2021029-000121
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKESHORE COMMUNITY PRIDE INC
Organization’s Mailing Address 5571 WASHINGTON AVE APT A
City MUSKEGON
State MI
ZIP 49442
Accounting period End 12
Primary contact name JACOB BARNARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFREY PIENELA
PRESIDENT
1854 5TH ST
MUSKEGON MI 49441

Officer/Director/Trustee Two

JEREMY WATTS
TREASURER
2533 LEBOEUF ST
MUSKEGON MI 49441

Officer/Director/Trustee Three

CRYSTAL MURRAY
VICE PRESIDENT/DIRECTOR
5571 WASHINGTON AVE APT A
MUSKEGON MI 49441

Officer/Director/Trustee Four

JOSEPHINE DERBY
DIRECTOR
5644 BRICKYARD RD
TWIN LAKE MI 49457

Officer/Director/Trustee Five

JOSHUA SPYKER
DIRECTOR
2431 CROZIER AVE
MUSKEGON MI 49441

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/9/2020
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOSEPHINE DERBY
Signature Title DIRECTOR
Signature Date 12/4/2020

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