FORM 1023-EZ for CAMP ZIP OF MICHIGAN

Field Data
EIN 82-4948625
Case Number EO-2018094-000104
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAMP ZIP OF MICHIGAN
Organization’s Mailing Address 5840 N CANTON CENTER RD STE 290
City CANTON
State MI
ZIP 48187
Accounting period End 12
Primary contact name JULLEE KAZEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JULLEE KAZEN
PRESIDENT, DIRECTOR
47554 W HURON RIVER DR
BELLEVILLE MI 48111

Officer/Director/Trustee Two

JASON TOWLER
SECRETARY, DIRECTOR
643 HILLSDALE ST
WHITMORE LAKE MI 48189

Officer/Director/Trustee Three

SHARI MUDROCH
TREASURER, DIRECTOR
48394 DORA CT
BELLEVILLE MI 48111

Organization’s website WWW.CAMPZIPREC.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/22/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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 JULLEE KAZEN
Signature Title PRESIDENT, DIRECTOR
Signature Date 4/2/18

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