FORM 1023-EZ for FOREVERSTRONG MEMORIAL FOUNDATION

Field Data
EIN 81-5042557
Case Number EO-2018078-000411
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOREVERSTRONG MEMORIAL FOUNDATION
Organization’s Mailing Address PO BOX 2693
City PORTAGE
State MI
ZIP 49081-2693
Accounting period End 12
Primary contact name MICHAEL J WILLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAURIE SMITH
PRESIDENT DIRECTOR
5263 EAST P AVENUE
KALAMAZOO MI 49048-9704

Officer/Director/Trustee Two

TYLER LOVEJOY
TREASURER
3820 STADIUM DRIVE
KALAMAZOO MI 49008-1424

Officer/Director/Trustee Three

EMILY LEMMER
SECRETARY DIRECTOR
5263 EAST P AVENUE
KALAMAZOO MI 49048-9704

Officer/Director/Trustee Four

JACK ROUTLEY
DIRECTOR
9960 SOUTH 6TH STREET
SCHOOLCRAFT MI 49087

Officer/Director/Trustee Five

JEFFREY PERNIE
DIRECTOR
24964 31ST STREET
GOBLES MI 49055

Organization’s website HTTPS://FOREVERSTRONGFOUNDATION.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/26/16
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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 LAURIE SMITH
Signature Title PRESIDENT DIRECTOR
Signature Date 3/16/18

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