FORM 1023-EZ for SOUTHWEST MICHIGAN VETERAN COMMUNITY ACTION TEAM

Field Data
EIN 83-3932608
Case Number EO-2019199-000226
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTHWEST MICHIGAN VETERAN COMMUNITY ACTION TEAM
Organization’s Mailing Address 26953 MINTDALE ROAD
City STURGIS
State MI
ZIP 49091
Accounting period End 12
Primary contact name MICHAEL WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PETE GREEN
PRESIDENT
420 EAST ALCOTT STREET
KALAMAZOO MI 49001

Officer/Director/Trustee Two

MICHAEL HOSS
VICE PRESIDENT
5250 LOVERS LANE SUITE 200
KALAMAZOO MI 49002

Officer/Director/Trustee Three

KARLA FALES
TREASURER
200 WEST MICHIGAN AVENUE 102
BATTLE CREEK MI 49017

Officer/Director/Trustee Four

STEPHANIE KOSTIZEN
SECRETARY
4025 HEALTH PARK LANE
SAINT JOSEPH MI 49085

Officer/Director/Trustee Five

CHADWICK DILLON
BOARD MEMBER
350 EAST MICHIGAN AVENUE
KALAMAZOO MI 49007

Organization’s website
Organization’s email MWILSON@ALLIDTS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/19
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S21 - Community Coalitions
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name PETE GREEN
Signature Title PRESIDENT
Signature Date 7/16/19

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