FORM 1023-EZ for MAPLE FANS CLUB

Field Data
EIN 38-3214711
Case Number EO-2016195-000262
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MAPLE FANS CLUB
Organization’s Mailing Address 785 RIVERSIDE AVE
City ADRIAN
State MI
ZIP 49221
Accounting period End 6
Primary contact name DAVID DAVIES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID DAVIES
TREASURER
1229 SCOTT RIDGE DR
ADRIAN MI 49221

Officer/Director/Trustee Two

TERRI JOHNSTON
PRESIDENT
3128 BIRCH RUN
ADRIAN MI 49221

Officer/Director/Trustee Three

MARNE DAVIES
VICE PRESIDENT
1229 SCOTT RIDGE DR
ADRIAN MI 49221

Officer/Director/Trustee Four

JACOB COOPER
SECRETARY
1242 WEST MAUMEE ST
ADRIAN MI 49221

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/1993
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B84 - Alumni Associations
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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