FORM 1023-EZ for NORTHERN MACOMB FOUNDATION INC

Field Data
EIN 82-5247358
Case Number EO-2018141-000563
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHERN MACOMB FOUNDATION INC
Organization’s Mailing Address 228 N MAIN STREET STE D
City ROMEO
State MI
ZIP 48065
Accounting period End 12
Primary contact name LEIGH H SAVAGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BOB HART
PRESIDENT
59456 VAN DYKE
WASHINGTON MI 48094

Officer/Director/Trustee Two

STEVE BALSAM
TREASURER
160 MCLEAN DRIVE
ROMEO MI 48065

Officer/Director/Trustee Three

DORIS NEUMEYER
SECRETARY
44201 DEQUINDRE
TROY MI 48085

Officer/Director/Trustee Four

MARK LOSEY
DIRECTOR
11500 BAYBERRY
ROMEO MI 48065

Officer/Director/Trustee Five

NICK BROGGI
DIRECTOR
701 E 32 MILE ROAD
ROMEO MI 48065

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: Yes
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 BOB HART
Signature Title PRESIDENT
Signature Date 5/18/18

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