FORM 1023-EZ for SPARKY DEFIBRILLATOR CHALLENGE

Field Data
EIN 46-1722187
Case Number EO-2016272-000259
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SPARKY DEFIBRILLATOR CHALLENGE
Organization’s Mailing Address 10246 CROUSE RD BOX 52
City HARTLAND
State MI
ZIP 48353
Accounting period End 12
Primary contact name JOSEPH FRY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOSEPH FRY
PRESIDENT
10246 CROUSE RD
HARTLAND MI 48353

Organization’s website SPARLYDEFIBRILLATOR.ORG
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/20/2013
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief Services
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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