FORM 1023-EZ for ANN ARBOR POLICE BENEVOLENT ASSOCIATION

Field Data
EIN 61-1714180
Case Number EO-2015191-000203
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANN ARBOR POLICE BENEVOLENT ASSOCIATION
Organization’s Mailing Address 301 E HURON ST
City ANN ARBOR
State MI
ZIP 48104
Accounting period End 4
Primary contact name SEAN STEWART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SEAN STEWART
PRESIDENT
6087 KELLY DR
JACKSON MI 49201

Officer/Director/Trustee Two

DENNIS DEGRAND
VICE PRESIDENT
301 E HURON ST
ANN ARBOR MI 48104

Officer/Director/Trustee Three

TRECA ZDYBEK
TREASURER
301 E HURON ST
ANN ARBOR MI 48104

Officer/Director/Trustee Four

JAIME CRAWFORD
SECRETARY
301 E HURON ST
ANN ARBOR MI 48104

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/13/2012
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y12 - Fund Raising and/or Fund Distribution
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 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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