FORM 1023-EZ for GRAYLING AA

Field Data
EIN 83-4394999
Case Number EO-2019298-000207
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRAYLING AA
Organization’s Mailing Address 305 CHESTNUT ST
City GRAYLING
State MI
ZIP 49738
Accounting period End 12
Primary contact name GERALD ST GERMAIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GERALD ST GERMAIN
TREASURER
305 CHESTNUT ST
GRAYLING MI 49738

Officer/Director/Trustee Two

DONNA ST GERMAIN
SECRETARY
305 CHESTNUT ST
GRAYLING MI 49738

Officer/Director/Trustee Three

JOHN WOTRING
GENERAL SERVICE REP
1717 GOSS PKWY
GRAYLING MI 49738

Officer/Director/Trustee Four

JOE THOMPSON
CHAIRPERSON
11848 ARROWHEAD RD
GRAYLING MI 49738

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/86
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
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 GERALD ST GERMAIN
Signature Title TREASURER
Signature Date 10/23/19

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