FORM 1023-EZ for POLESTAR LGBT COMMUNITY CENTER

Field Data
EIN 81-4624941
Case Number EO-2016348-000359
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POLESTAR LGBT COMMUNITY CENTER
Organization’s Mailing Address PO BOX 7317
City TRAVERSE CITY
State MI
ZIP 49696-0002
Accounting period End 1
Primary contact name EDDIE GRIM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDDIE GRIM
INCORPORATOR
2823 N THOMAS PL
TRAVERSE CITY MI 49686-4933

Officer/Director/Trustee Two

JOHN YOUNG
INCORPORATOR
440 W VALLEY RD
MAPLE CITY MI 49664-9797

Officer/Director/Trustee Three

REBEKAH FULLER
INCORPORATOR
550 GEORGETOWN DR UNIT 4
TRAVERSE CITY MI 49684-4472

Officer/Director/Trustee Four

RUTH SPALDING
INCORPORATOR
1010 S GARFIELD STE 203
TRAVERSE CITY MI 49686-3465

Officer/Director/Trustee Five

TRAVIS FRANK
INCORPORATOR
2936 GLEN DRIVE APT 7
TRAVERSE CITY MI 49686-4627

Organization’s website HTTP://WWW.TCPOLESTAR.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/20/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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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