FORM 1023-EZ for DRUG FREE TEEN CLUB INC

Field Data
EIN 82-1698375
Case Number EO-2017170-000301
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DRUG FREE TEEN CLUB INC
Organization’s Mailing Address 1425 W PICKARD RD
City MOUNT PLEASANT
State MI
ZIP 48858
Accounting period End 12
Primary contact name KEVIN RICKETTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN RICKETTS
PRESIDENT
1425 W PICKARD RD
MOUNT PLEASANT MI 48858

Officer/Director/Trustee Two

ALICE RICKETTS
VICE PRESIDENT
1425 W PICKARD RD
MOUNT PLEASANT MI 48858

Officer/Director/Trustee Three

LUKE SAWYER
TREASURER
251 W WRIGHT AVE
SHEPHERD MI 48883

Organization’s website DRUGFREETEENCLUB.WEEBLY.COM
Organization’s email COACHRICKETTS1425@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/6/2017
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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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