FORM 1023-EZ for GREAT LAKES MEN

Field Data
EIN 46-2469183
Case Number EO-2014353-000272
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GREAT LAKES MEN
Organization’s Mailing Address 21979 HEATHERIDGE LANE
City NORTHVILLE
State MI
ZIP 48167
Accounting period End 12
Primary contact name DANA LEMBRICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAMES GUSTAFSON
PRESIDENT
21979 HEATHERRIDGE LANE
NORTHVILLE MI 48167

Officer/Director/Trustee Two

DALE BRADFORD
VICE PRESIDENT
18613 GERUTAGE TRAUK
STRONGSVILLE OH 44136

Officer/Director/Trustee Three

DANA LEMBRICK
TREASURER
6788 MAPLELAWN DRIVE
YPSILANTI MI 48197

Officer/Director/Trustee Four

DAVID SZABO
SECRETARY
19789 BENNINGTON DR
STRONGSVILLE OH 44136

Organization’s website
Organization’s email GREATLAKESMEN1@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/2013
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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
Signature Title
Signature Date

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