FORM 1023-EZ for CHAIN O LAKES YOUTH SHOOTING SPORTSORGANIZATION

Field Data
EIN 81-5200748
Case Number EO-2017038-000127
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHAIN O LAKES YOUTH SHOOTING SPORTSORGANIZATION
Organization’s Mailing Address 9886 PINE CIRCLE DRIVE NW
City RAPID CITY
State MI
ZIP 49676
Accounting period End 12
Primary contact name MATTHEW GAY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW GAY
PRESIDENT
9886 PINE CIRCLE DRIVE NW
RAPID CITY MI 49676

Officer/Director/Trustee Two

DAN BENNETT
SECRETARY
204 ALLCOTT STREET
BELLAIRE MI 49615

Officer/Director/Trustee Three

BRIAN RATHKE
TREASURER
7709 COTTAGE DRIVE
BELLAIRE MI 49615

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/12/2017
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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