FORM 1023-EZ for BUCKET LIST DREAMS INC

Field Data
EIN 85-2497330
Case Number EO-2020254-000344
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BUCKET LIST DREAMS INC
Organization’s Mailing Address 431 EAST ELM AVENUE
City MONROE
State MI
ZIP 48162
Accounting period End 12
Primary contact name GARY BANNING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRUCE BANNING
PRESIDENT
5000 BROOKLYN ROAD
JACKSON MI 49201-7814

Officer/Director/Trustee Two

LARRY SCHMID
VICE-PRESIDENT
201 FRANKLIN STREET
BLISSFIELD MI 49228-1104

Officer/Director/Trustee Three

GARY BANNING
TREASURER
2106 STEINER ROAD
MONROE MI 48162-9491

Officer/Director/Trustee Four

ERIN SCHMID
SECRETARY
201 FRANKLIN STREET
BLISSFIELD MI 49228-1104

Officer/Director/Trustee Five

PAULA BANNING
DIRECTOR
5000 BROOKLYN ROAD
JACKSON MI 49201-7814

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/2020
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R20 - Civil Rights, Advocacy for Specific Groups
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 No
Correctness Declaration Yes
Signature Name BRUCE BANNING
Signature Title PRESIDENT
Signature Date 9/8/2020

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