FORM 1023-EZ for LIVONIA FRC ROBOTICS

Field Data
EIN 47-1407582
Case Number EO-2016025-000384
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIVONIA FRC ROBOTICS
Organization’s Mailing Address C/O ISOLINA CARLINI - 36420 RAYBURN
City LIVONIA
State MI
ZIP 48154-1846
Accounting period End 6
Primary contact name ISOLINA CARLINI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DWAYNE TAYLOR
PRESIDENT
16436 RIVERSIDE ST
LIVONIA MI 48154-2409

Officer/Director/Trustee Two

RUPAL PRIBAK
TREASURER
36895 SUNNYDALE ST
LIVONIA MI 48154-1726

Officer/Director/Trustee Three

SUZANNE BAKER
SECRETARY
29724 MARK LANE
LIVONIA MI 48152-4506

Officer/Director/Trustee Four

ISOLINA CARLINI
TEAM FACULTY DIRECTOR
36420 RAYBURN ST
LIVONIA MI 48154-1846

Officer/Director/Trustee Five

WAYNE BREHOB
BOARD MEMBER
15525 NORWICH
LIVONIA MI 48154-2608

Organization’s website HTTP://WWW.LIVONIAWARRIORS.COM/
Organization’s email ICARLINI@LIVONIAPUBLICSCHOOLS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/30/2014
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code U41 - Computer Science
Organization’s purpose Charitable: Yes
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 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
Signature Title
Signature Date

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