FORM 1023-EZ for COMMUNITY CENTER OF LAKE COUNTY

Field Data
EIN 47-4952663
Case Number EO-2015282-000372
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMUNITY CENTER OF LAKE COUNTY
Organization’s Mailing Address 915 N MICHIGAN AVE
City BALDWIN
State MI
ZIP 49304
Accounting period End 12
Primary contact name JOHN DRAKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN DRAKE
PRESIDENT
6799 WEST 76TH STREET
BALDWIN MI 49304

Officer/Director/Trustee Two

BRUCE MICINSKI
VICE PESIDENT
11614 WINGLETON RD
BALDWIN MI 49304

Officer/Director/Trustee Three

KELSEY BRAGINTON
TREASURER
706 BEECH ST
BALDWIN MI 49304

Officer/Director/Trustee Four

LARRY LEWIS
SECRETARY
E 18TH STREET
IDLEWILD MI 49642

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/7/2014
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S30 - Economic Development
Organization’s purpose Charitable: No
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 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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