FORM 1023-EZ for GROVELAND TOWNSHIP FIREFIGHTERS ANDDIVE TEAM ASSOCIATION INC

Field Data
EIN 38-3464900
Case Number EO-2020021-000285
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GROVELAND TOWNSHIP FIREFIGHTERS ANDDIVE TEAM ASSOCIATION INC
Organization’s Mailing Address 14645 DIXIE HIGHWAY
City HOLLY
State MI
ZIP 48442
Accounting period End 3
Primary contact name KEVIN MASON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN MASON
FIRE CHIEF
14645 DIXIE HIGHWAY
HOLLY MI 48442

Officer/Director/Trustee Two

THOMAS NICHOLSON
PRESIDENT
14645 DIXIE HIGHWAY
HOLLY MI 48442

Officer/Director/Trustee Three

RUSSEL ADERHOLDT
VICE PRESIDENT
14645 DIXIE HIGHWAY
HOLLY MI 48442

Officer/Director/Trustee Four

OLIVIA BERARD
SECRETARY
14645 DIXIE HIGHWAY
HOLLY MI 48442

Officer/Director/Trustee Five

STACY MILLAR
TREASURER
14645 DIXIE HIGHWAY
HOLLY MI 48442

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/1999
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M20 - Disaster Preparedness and Relief Services
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name KEVIN MASON
Signature Title FIRE CHIEF
Signature Date 1/16/2020

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