FORM 1023-EZ for LAKE COUNTY RESERVE SHERIFF UNIT

Field Data
EIN 37-1755800
Case Number EO-2016077-000173
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKE COUNTY RESERVE SHERIFF UNIT
Organization’s Mailing Address 1153 MICHIGAN AVE
City BALDWIN
State MI
ZIP 49304
Accounting period End 12
Primary contact name DONALD ARQUETTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DONALD ARQUETTE
CAPTAIN / CHAIR
8913 W ISLE PARK DR
IRONS MI 49644

Officer/Director/Trustee Two

CARL MERCHANT
LIEUTENANT / VICE CHAIR
1797 LAWRECE DR
BITELY MI 49309

Officer/Director/Trustee Three

MARTY WAKER
SERGEANT / SECRETARY
4106 NORTH M-37
LUTHER MI 49656

Officer/Director/Trustee Four

AMY VANDYKIN
TREASURER
4580 S MERRILVILLE RD
BALDWIN MI 49304

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/2014
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I60 - Law Enforcement Agencies (Police Departments)
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 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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