FORM 1023-EZ for CRIME PREVENTION ASSOCIATION OF MICHIGAN

Field Data
EIN 38-2973199
Case Number EO-2021082-000253
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CRIME PREVENTION ASSOCIATION OF MICHIGAN
Organization’s Mailing Address 7 S MONROE STREET
City ROCKFORD
State MI
ZIP 49341
Accounting period End 12
Primary contact name WENDY HOLTVLUWER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMY HUFFMAN
PRESIDENT DIRECTOR
1 MONROE CENTER NW
GRAND RAPIDS MI 49503

Officer/Director/Trustee Two

ANDREW KOZAC
TREASURER DIRECTOR
701 BALL AVE NE
GRAND RAPIDS MI 49503

Officer/Director/Trustee Three

ADAM NOTHELFER
SECRETARY DIRECTOR
4930 SHATTUCK ROAD
SAGINAW MI 48603

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/10/1984
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I01 - Alliance/Advocacy Organizations
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 Yes
Correctness Declaration Yes
Signature Name ANDREW KOZAC
Signature Title TREASURER DIRECTOR
Signature Date 1/29/2021
EIN 38-2973199
Case Number EO-2021082-000989
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CRIME PREVENTION ASSOCIATION OF MICHIGAN
Organization’s Mailing Address 7 S MONROE STREET
City ROCKFORD
State MI
ZIP 49341
Accounting period End 12
Primary contact name WENDY HOLTVLUWER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMY HUFFMAN
PRESIDENT DIRECTOR
1 MONROE CENTER NW
GRAND RAPIDS MI 49503

Officer/Director/Trustee Two

ANDREW KOZAC
TREASURER DIRECTOR
701 BALL AVE NE
GRAND RAPIDS MI 49503

Officer/Director/Trustee Three

ADAM NOTHELFER
SECRETARY DIRECTOR
4930 SHATTUCK ROAD
SAGINAW MI 48603

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/10/1984
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I01 - Alliance/Advocacy Organizations
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 Yes
Correctness Declaration Yes
Signature Name ANDREW KOZAC
Signature Title TREASURER DIRECTOR
Signature Date 2/1/2021

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