FORM 1023-EZ for MATAMBA AID SOCIETY

Field Data
EIN 47-3782987
Case Number EO-2015113-000176
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MATAMBA AID SOCIETY
Organization’s Mailing Address 508 E NORTH STREET
City ISHPEMING
State MI
ZIP 49849
Accounting period End 12
Primary contact name ROBERT MARIETTI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT MARIETTI
CHAIR
508 E NORTH STREET
ISHPEMING MI 49849

Officer/Director/Trustee Two

MARTINIS LEXMOND
VICE CHAIR
1314 CLEVELAND
MARQUETTE MI 49855

Officer/Director/Trustee Three

CHERYL MARIETTI
TREASURER
508 E NORTH STREET
ISHPEMING MI 49849

Officer/Director/Trustee Four

SUSAN RITTER
SECRETARY
180 EAGLES NEST ROAD
MARQUETTE MI 49855

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/7/2015
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E30 - Health Treatment Facilities, Primarily Outpatient
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 Yes
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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