FORM 1023-EZ for FENTON REGIONAL CHAMBER FOUNDATION

Field Data
EIN 84-2235612
Case Number EO-2019182-000511
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FENTON REGIONAL CHAMBER FOUNDATION
Organization’s Mailing Address 104 S ADELAIDE ST
City FENTON
State MI
ZIP 48430
Accounting period End 12
Primary contact name LAWRENCE ZIMBLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHELLY DAY
INCORPORATOR
104 S ADELAIDE ST
FENTON MI 48430

Officer/Director/Trustee Two

DOUGLAS FAIRBANKS
INCORPORATOR
104 S ADELAIDE ST
FENTON MI 48430

Officer/Director/Trustee Three

EDWARD KOLEDO
INCORPORATOR
104 S ADELAIDE ST
FENTON MI 48430

Organization’s website NONE
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/19
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O53 - Youth Development - Business
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 Yes
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 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 SHELLY DAY
Signature Title INCORPORATOR
Signature Date 6/27/19

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