FORM 1023-EZ for WOODLAND PARK HISTORICAL SOCIETY

Field Data
EIN 83-1998538
Case Number EO-2018334-000380
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name WOODLAND PARK HISTORICAL SOCIETY
Organization’s Mailing Address 2651 WOODLAKE CT APT 5
City WYOMING
State MI
ZIP 49519
Accounting period End 6
Primary contact name DALE RIETBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ZIYADAH SHAKIR
DIRECTOR AND PRESIDENT
2651 WOODLAKE CT APT 5
WYOMING MI 49519

Officer/Director/Trustee Two

ROLANDA RICHARDSON
DIRECTOR AND TREASURER
2208 LAKE SHORE DR
BITELY MI 49308

Officer/Director/Trustee Three

ETHEL GRIFF
DIRECTOR AND SECRETARY
350 BLOODGOOD ST APT 154
MOBILE AL 36603

Officer/Director/Trustee Four

DALE RIETBERG
VICE PRESIDENT
333 BRIDGE ST NW
GRAND RAPIDS MI 49504

Officer/Director/Trustee Five

DEBORAH JONES
DIRECTOR
2056 COLLEGE AVE SE
GRAND RAPIDS MI 49507

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/16/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
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 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 DALE RIETBERG
Signature Title VICE PRESIDENT
Signature Date 11/28/18

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