FORM 1023-EZ for CUSTOM COMMUNITY CENTER INC

Field Data
EIN 84-2701866
Case Number EO-2019228-000409
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CUSTOM COMMUNITY CENTER INC
Organization’s Mailing Address 603 N 2ND ST
City NILES
State MI
ZIP 49120
Accounting period End 12
Primary contact name MICHAEL REED
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL REED
CHIEF EXECUTIVE OFFICER
1600 ECHO VALLEY DRIVE
NILES MI 49120-2231

Officer/Director/Trustee Two

ASHLEE REED
CHIEF FINANCIAL OFFICER
1600 ECHO VALLEY DRIVE
NILES MI 49120-2231

Officer/Director/Trustee Three

BRANDON BIELSKI
CHAIRPERSON OF THE GOVERNING BODY
640 S ST JOSEPH AVE
NILES MI 49120

Officer/Director/Trustee Four

DAKOTA HARDING
CHAIRPERSON OF THE GOVERNING BODY
452 E MARION ST
NAPANEE IN 46550

Officer/Director/Trustee Five

KARI REED
CHAIRPERSON OF THE GOVERNING BODY
1901 E WINN RD
NILES MI 49120

Organization’s website
Organization’s email MICHAEL.REED@CCCNILES.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/12/19
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P28 - Neighborhood Centers, Settlement Houses
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MICHAEL REED
Signature Title CHIEF EXECUTIVE OFFICER
Signature Date 8/14/19

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