FORM 1023-EZ for KIRTLANDS WARBLER FESTIVAL INC

Field Data
EIN 82-4449267
Case Number EO-2018051-000366
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KIRTLANDS WARBLER FESTIVAL INC
Organization’s Mailing Address PO BOX 217
City ROSCOMMON
State MI
ZIP 48653
Accounting period End 12
Primary contact name THOMAS H DALE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS H DALE
CHAIRMAN
11681 FLOOTER RD
ROSCOMMON MI 48653

Officer/Director/Trustee Two

JOHN ROSCZYK
VICE CHAIRMAN
PO BOX 535
ROSCOMMON MI 48653

Officer/Director/Trustee Three

MARK JANESCKO
SECRETARY
6420 NORTH ROGERS RD
HARRISON MI 48625

Officer/Director/Trustee Four

VICKIE SHEATHELM
TREASURER
11731 TOWN LINE RD
ROSCOMMON MI 48653

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/24/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C99 - Environmental Quality, Protection, and Beautification N.E.C.
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 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 THOMAS H DALE
Signature Title CHAIRMAN
Signature Date 2/16/18

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