FORM 1023-EZ for DOCOMOMO-US-MICHIGAN

Field Data
EIN 47-1707955
Case Number EO-2015121-000156
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DOCOMOMO-US-MICHIGAN
Organization’s Mailing Address PO BOX 725314
City BERKLEY
State MI
ZIP 48072-9998
Accounting period End 12
Primary contact name KATHERINE WHITE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEBORAH GOLDSTEIN
PRESIDENT
4556 PINE VILLAGE DRIVE
WEST BLOOMFIELD MI 48323-4029

Officer/Director/Trustee Two

RUTH MILLS
SECRETARY
2120 MIDVALE
YPSIALNTI MI 48197-9998

Officer/Director/Trustee Three

KATHERINE WHITE
TREASURER
1591 CAMBRIDGE ROAD
BERKLEY MI 48072-9998

Officer/Director/Trustee Four

TYLER MERKEL
DIRECTOR
250 PARIS AVE SE
GRAND RAPIDS MI 49503-8132

Officer/Director/Trustee Five

DALE GYURE
DIRECTOR
35696 CAMDEN COURT
FARMINGTON HILLS MI 48335-9998

Organization’s website
Organization’s email DOCOMOMO.MI@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/2014
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
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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