FORM 1023-EZ for ARICS MISSION INCORPORATED

Field Data
EIN 87-2325693
Case Number EO-2021239-000294
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ARICS MISSION INCORPORATED
Organization’s Mailing Address 1391 GEZON PARKWAY SW
City WYOMING
State MI
ZIP 49509
Accounting period End 12
Primary contact name ALISA VANCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KURT POTTER
MEMBER
4677 CRESCENT DR
HUDSONVILLE MI 49426

Officer/Director/Trustee Two

ADAM POTTER
MEMBER
170 ANILINE AVE N
HOLLAND MI 49424

Officer/Director/Trustee Three

ALISA VANCE
MEMBER
2519 RIDGE TOP DR
BYRON CENTER MI 49315

Organization’s website
Organization’s email ARICSMISSION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/21/2021
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P85 - Homeless Persons Centers, Services
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 Yes
Donation of funds No
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 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 ALISA VANCE
Signature Title MEMBER
Signature Date 8/25/2021

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