FORM 1023-EZ for THE BEAR LAKE PRESERVATION ASSOCIATION OF MUSKEGON COUNTY

Field Data
EIN 82-4399429
Case Number EO-2018057-000153
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE BEAR LAKE PRESERVATION ASSOCIATION OF MUSKEGON COUNTY
Organization’s Mailing Address 138 NORTH BEAR LAKE ROAD
City MUSKEGON
State MI
ZIP 49445-2306
Accounting period End 12
Primary contact name DARRELL VAN FOSSAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARRELL VAN FOSSAN
PRESIDENT
138 NORTH BEAR LAKE RD
MUSKEGON MI 49445-2306

Officer/Director/Trustee Two

GREG BUTLER
SECRETARY
723 FOWLER STREET
MUSKEGON MI 49445-2306

Officer/Director/Trustee Three

BERNARD BERNSTON
TREASURER
12 SOUTH BEAR LAKE ROAD
MUSKEGON MI 49445-2306

Officer/Director/Trustee Four

TERI FANSLER
DIRECTOR
20 NORTH BEAR LAKE ROAD
MUSKEGON MI 49445-2306

Officer/Director/Trustee Five

DOUG WAGER
DIRECTOR
1310 MOULTON AVENUE
MUSKEGON MI 49445-2306

Organization’s website
Organization’s email DARRELLSUZANNE@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/11/88
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
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 DARRELL VAN FOSSAN
Signature Title PRESIDENT
Signature Date 2/22/18

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