FORM 1023-EZ for CITY OF WAYNE RETIREES ASSOCIATION

Field Data
EIN 81-3144320
Case Number EO-2016193-000193
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CITY OF WAYNE RETIREES ASSOCIATION
Organization’s Mailing Address 7577 US HIGHWAY 12
City ONSTED
State MI
ZIP 49265
Accounting period End 12
Primary contact name EDMUND ROTHFELDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMOTHY REYNOLDS
PRESIDENT
4118 STRATHONA
HIGHLAND MI 48357

Officer/Director/Trustee Two

MELVIN MOORE
VICE PRESIDNET
11289 SOUTHWORTH
PLYMOUTH MI 48170

Officer/Director/Trustee Three

EDMUND ROTHFELDER
TREASURER
17035 SHERBORNE AVE
ALLEN PARK MI 48101

Officer/Director/Trustee Four

BRUCE WOLFGRAM
SECRETARY
21850 ROXBURY DR
NOVI MI 48374

Officer/Director/Trustee Five

BERNARD CONNEY
CHAIRMAN
1326 S NEWBURGH RD
WESTLAND MI 48186

Organization’s website
Organization’s email E.ROTHFELDER@ATT.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/22/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A01 - Alliance/Advocacy Organizations
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 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
Signature Title
Signature Date

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