FORM 1023-EZ for BLAKE PARK PROJECT

Field Data
EIN 81-2889699
Case Number EO-2016328-000272
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BLAKE PARK PROJECT
Organization’s Mailing Address 5211 DALE ST
City MIDLAND
State MI
ZIP 48642-5000
Accounting period End 12
Primary contact name ERIC WROZEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIC WROZEK
BOARD DIRECTOR
5211 DALE ST
MIDLAND MI 48642-3291

Officer/Director/Trustee Two

MANDIE WROZEK
BOARD MEMBER
5211 DALE ST
MIDLAND MI 48642-3291

Officer/Director/Trustee Three

JOANNE MACKENZIE
BOARD MEMBER
96 NORTH ST
PINCONNING MI 48650-7498

Officer/Director/Trustee Four

COLIN WEGRZYN
BOARD MEMBER
4512 NORTH SAGINAW RD
MIDLAND MI 48640-2369

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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