FORM 1023-EZ for GREAT LAKES ASSOCIATION OF CHILD LIFE PROFESSIONALS

Field Data
EIN 90-0487044
Case Number EO-2017219-000172
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GREAT LAKES ASSOCIATION OF CHILD LIFE PROFESSIONALS
Organization’s Mailing Address 16036 BIRWOOD AVE
City BEVERLY HILLS
State MI
ZIP 48025
Accounting period End 12
Primary contact name MAUREEN STYS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MAUREEN STYS
OFFICER
16036 BIRWOOD AVE
BEVERLY HILLS MI 48025

Officer/Director/Trustee Two

KATRENA FROH
PRESIDENT
600 BROADWAY AVE NW APT 214
GRAND RAPIDS MI 49504

Officer/Director/Trustee Three

JENNA ZAYATZ
PAST PRESIDENT
17 HALKER AVE
CINCINNATI OH 45215

Officer/Director/Trustee Four

ALEXIS DEFOREST
PRESIDENT ELECT
39 KENSINGTON
PLEASANT RIDGE MI 48609

Officer/Director/Trustee Five

REBECCA CAR
SECRETARY
930 WESTMORELAND AVENUE
KALAMAZOO MI 49006

Organization’s website WWW.GLACLP.COM
Organization’s email CHILDLIFE.GLACLP@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2008
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 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
Signature Title
Signature Date

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