FORM 1023-EZ for AMERICAN SOCIETY FOR PAIN MANAGEMENT NURSING GREAT LAKES CHAPTER

Field Data
EIN 83-3832887
Case Number EO-2021277-000166
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AMERICAN SOCIETY FOR PAIN MANAGEMENT NURSING GREAT LAKES CHAPTER
Organization’s Mailing Address PO BOX 434
City LAKE ORION
State MI
ZIP 48361
Accounting period End 12
Primary contact name DOREEN TONER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL MARKOS
PRESIDENT
1856 TRADITION DR
CANTON MI 48187

Officer/Director/Trustee Two

SUSAN HOLMES
PRESIDENT-ELECT
21791 HIDDEN RIVERS DRIVE N
SOUTHFIELD MI 48075

Officer/Director/Trustee Three

ASHLEY MEYERS
SECRETARY
310 NORTH SCOTTS ST
DEWITT MI 48820

Officer/Director/Trustee Four

DOREEN TONER
TREASURER
1101 HELEN ST
MIDLAND MI 48640

Organization’s website
Organization’s email ASPMNGREATLAKES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/2019
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 DOREEN TONER
Signature Title TREASURER
Signature Date 9/30/2021

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