FORM 1023-EZ for MASON MUSICAL THEATER BOOSTERS CLUB

Field Data
EIN 81-3719441
Case Number EO-2016258-000098
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MASON MUSICAL THEATER BOOSTERS CLUB
Organization’s Mailing Address 3835 W WALTON BLVD
City WATERFORD
State MI
ZIP 48329
Accounting period End 12
Primary contact name AMANDA HILLMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MELISSA PARDALES
PRESIDENT
3325 ANGELUS DRIVE
WATERFORD MI 48329

Officer/Director/Trustee Two

KOLLEEN HENDIN
CO-VICE PRESIDENT
4150 FARNER AVE
WATERFORD MI 48329

Officer/Director/Trustee Three

TRACY BROOKS
SECRETARY
8139 RENE
WHITE LAKE MI 48386

Officer/Director/Trustee Four

AMANDA S HILLMAN
TREASURER
5885 ROCKCROFT BLVD
CLARKSTON MI 48346

Officer/Director/Trustee Five

EVE DUNSMORE
CO-VICE PRESIDENT
50 WENONAH DR
PONTIAC MI 48341

Organization’s website N/A
Organization’s email MASONMUSICALTBC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O11 - Single Organization Support
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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