FORM 1023-EZ for PORT AUSTIN ARTIST IN RESIDENCE A MICHIGAN NONPROFIT ORGANIZATION

Field Data
EIN 82-4508124
Case Number EO-2018180-000383
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PORT AUSTIN ARTIST IN RESIDENCE A MICHIGAN NONPROFIT ORGANIZATION
Organization’s Mailing Address 2773 BAY DRIVE
City PORT AUSTIN
State MI
ZIP 48467
Accounting period End 12
Primary contact name CHRIS BOYLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHRISTOPHER BOYLE
PRESIDENT
2773 BAY DRIVE
PORT AUSTIN MI 48467

Officer/Director/Trustee Two

BRANDT ROUSSEAUX
SECRETARY TREASURER
8586 LAKE STREET
PORT AUSTIN MI 48467

Officer/Director/Trustee Three

ROBERT BUCKLEY
TRUSTEE
PO BOX 757
PORT AUSTIN MI 48467

Officer/Director/Trustee Four

CARL OSENTOSKI
TRUSTEE
170 UNION STREET
PORT AUSTIN MI 48467

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A25 - Arts Education
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 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 CHRISTOPHER BOYLE
Signature Title PRESIDENT
Signature Date 6/27/18

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