FORM 1023-EZ for CLUB CADILLAC

Field Data
EIN 20-1865066
Case Number EO-2016190-000689
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CLUB CADILLAC
Organization’s Mailing Address 2106 SIXTH AVENUE
City CADILLAC
State MI
ZIP 49601-8948
Accounting period End 9
Primary contact name MARY SMATHERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARY SMATHERS
PRESIDENT
8454 VALLEY FORGE DR
CADILLAC MI 49601-8948

Officer/Director/Trustee Two

BETTY TRUITT
VICE PRESIDENT
2753 PLEASANT LAKESHORE DR
CADILLAC MI 49601

Officer/Director/Trustee Three

ERIN BROTHERTON
SECRETARY
2102 E 16 RD
MANTON MI 49663

Officer/Director/Trustee Four

TARA HORTON
TREASURER
603 LINCOLN ST
CADILLAC MI 49601

Organization’s website N/A
Organization’s email ANDREW.ULRICH@NLCMH.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/2/2003
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 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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