FORM 1023-EZ for LAKESHOREMEN INC

Field Data
EIN 38-3302546
Case Number EO-2016330-000252
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKESHOREMEN INC
Organization’s Mailing Address 31935 WEST ROAD
City NEW BOSTON
State MI
ZIP 48164
Accounting period End 12
Primary contact name ZACHARY NOVICKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ZACHARY NOVICKI
PRESIDENT TREASURER
31935 WEST ROAD
NEW BOSTON MI 48164

Officer/Director/Trustee Two

MELINDA HAMMOND
SECRETARY
275 MARTINDALE ROAD
MILFORD MI 48381

Officer/Director/Trustee Three

SHANE CHAPPELLE
DIRECTOR
16684 SHERWOOD LANE
WOODHAVEN MI 48183

Officer/Director/Trustee Four

SHANNA TALABAN
DIRECTOR
22315 CALIFORNIA STREET
ST. CLAIR SHORES MI 48180

Officer/Director/Trustee Five

SUMMER STEMPLE
DIRECTOR
5825 NORTHRIDGE COURT
WATERFORD MI 48327

Organization’s website HTTP://WWW.LAKESHOREMEN.ORG/
Organization’s email LAKESHOREMEN@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/1996
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A60 - Performing Arts Organizations
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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