FORM 1023-EZ for AMASA SENIOR CITIZENS SITE COUNCILINC

Field Data
EIN 38-3144670
Case Number EO-2015035-000158
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name AMASA SENIOR CITIZENS SITE COUNCILINC
Organization’s Mailing Address PO BOX 133
City AMASA
State MI
ZIP 49903
Accounting period End 12
Primary contact name MARY JANE COLUMBINO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARY JANE COLUMBINO
PRESIDENT
106 RUBY STREET
AMASA MI 49903

Officer/Director/Trustee Two

SHELBY J HARRINGTON
VICE PRESIDENT
133 N RIVER ROAD
CRYSTAL FALLS MI 49920

Officer/Director/Trustee Three

HELEN R HORD
SECRETARY
315 SNUFF CO ROAD
CRYSTAL FALLS MI 49920

Officer/Director/Trustee Four

HELGA LANGE
TREASURER
144 LANGE ROAD
CRYSTAL FALLS MI 49920

Officer/Director/Trustee Five

ADELINE CHERVO
DIRECTOR
521 LOGAN STREET
CRYSTAL FALLS MI 49920

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/1988
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, 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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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