FORM 1023-EZ for THE MIRACLE SHOT INC

Field Data
EIN 84-2320374
Case Number EO-2019191-000368
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE MIRACLE SHOT INC
Organization’s Mailing Address 11088 HORTON ROAD
City GOODRICH
State MI
ZIP 48438
Accounting period End 12
Primary contact name MATTHEW CHRISTENSEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW CHRISTENSEN
PRESIDENT
11088
GOODRICH MI 48438

Organization’s website NONE
Organization’s email MCHRISTENSEN0714@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/3/19
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
Organization’s purpose Charitable: No
Religious: Yes
Educational: Yes
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 Yes
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 MATTHEW CHRISTENSEN
Signature Title PRESIDENT
Signature Date 7/8/19

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