FORM 1023-EZ for ROBOTICS TEAM 5316

Field Data
EIN 61-1744674
Case Number EO-2015289-000223
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROBOTICS TEAM 5316
Organization’s Mailing Address PO BOX 502
City SARANAC
State MI
ZIP 48881
Accounting period End 12
Primary contact name ROBERT JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBERT JOHNSON
CHAIRMAN
9255 JACKSON ROAD
CLARKSVILLE MI

Officer/Director/Trustee Two

DAVID TRAILL
VICE CHAIRMAN
8421 PECK LAKE
SARANAC MI 48881

Officer/Director/Trustee Three

MIKE PHILLIPS
SECRETARY / TREASURER
260 CLOVER LANE
SARANAC MI 48881

Officer/Director/Trustee Four

MIKE MCGEE
DIRECTOR
8515 SAVANNAH DR
SARANAC MI 48881

Officer/Director/Trustee Five

MIKE RAIMER
DIRECTOR
12602 52ND ST SE
LOWELL MI 49331

Organization’s website WWW.ROBOTICS5316.ORG
Organization’s email ROBOTICS5316@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/2015
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U20 - Science, General
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 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
Signature Title
Signature Date

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