FORM 1023-EZ for NORTHERN MICHIGAN ADAPTIVE SPORTS INC

Field Data
EIN 84-3781732
Case Number EO-2021078-001085
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHERN MICHIGAN ADAPTIVE SPORTS INC
Organization’s Mailing Address 1212 ANDERSON RD
City TRAVERSE CITY
State MI
ZIP 49686
Accounting period End 12
Primary contact name ANN M REICHERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANN REICHERT
PRESIDENT
1212 ANDERSON RD
TRAVERSE CITY MI 49686

Officer/Director/Trustee Two

TODD STONE
VICE PRESIDENT
1225 W FRONT ST
TRAVERSE CITY MI 49684

Officer/Director/Trustee Three

MICHELLE NOWICKI
SECRETARY/TREASURER
1225 W FRONT ST
TRAVERSE CITY MI 49684

Organization’s website
Organization’s email Northernmichiganadaptivesports@gmail.com
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/25/2019
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 Yes
Conducting Activities Outside of United States Yes
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 ANN REICHERT
Signature Title PRESIDENT
Signature Date 1/22/2021

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