FORM 1023-EZ for WALLED LAKE CENTRAL WATERFORD UNITED HOCKEY

Field Data
EIN 84-3740501
Case Number EO-2020049-000439
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WALLED LAKE CENTRAL WATERFORD UNITED HOCKEY
Organization’s Mailing Address 2480 WOODBOURNE DR
City WATERFORD
State MI
ZIP 48329
Accounting period End 12
Primary contact name ANDREA KALLSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREA KALLSEN
PRESIDENT
2480 WOODBOURNE DR
WATERFORD MI 48329

Officer/Director/Trustee Two

KAREN FORREST
TREASURER, VICE PRESIDENT
4288 REBECCA CIRCLE
COMMERCE TOWNSHIP MI 48390

Officer/Director/Trustee Three

AMY MONIER
SECRETARY
4273 LAKEWOOD DR
WATERFORD MI 48329

Organization’s website WWW.WLCWUHOCKEY.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/26/2019
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N68 - Winter Sports (Snow and Ice)
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
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 KAREN FORREST
Signature Title TREASURER, VICE PRESIDENT
Signature Date 2/14/2020

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