FORM 1023-EZ for LEFFINGWELL FOREST PRESERVE ASSOCIATION

Field Data
EIN 38-1794932
Case Number EO-2018071-000207
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LEFFINGWELL FOREST PRESERVE ASSOCIATION
Organization’s Mailing Address PO BOX 34
City OLD MISSION
State MI
ZIP 49673
Accounting period End 6
Primary contact name JOHN JACOBS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN JACOBS
PRESIDENT
PO BOX 34
OLD MISSION MI 49673

Officer/Director/Trustee Two

MARTHA DALLUGE
TREASURER
PO BOX 34
OLD MISSION MI 49673

Officer/Director/Trustee Three

HEATHER BEERING
VICE PRESIDENT
PO BOX 34
OLD MISSION MI 49673

Officer/Director/Trustee Four

KATHY DOUGHERTY
SECRETARY
PO BOX 34
OLD MISSION MI 49673

Officer/Director/Trustee Five

PATRICIA RUDOLPH
TRUSTEE
PO BOX 34
OLD MISSION MI 49673

Organization’s website N/A
Organization’s email JJACOBS@JJACOBS.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/3/20
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C36 - Forest Conservation
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOHN JACOBS
Signature Title PRESIDENT
Signature Date 3/8/18

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