FORM 1023-EZ for CAMP TISDALE

Field Data
EIN 81-2911137
Case Number EO-2016187-000402
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAMP TISDALE
Organization’s Mailing Address 10626 HARTEL ROAD
City GRAND LEDGE
State MI
ZIP 48837
Accounting period End 12
Primary contact name SHANE TISDALE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANE TISDALE
CHAIR
10626 HARTEL ROAD
GRAND LEDGE MI 48837

Officer/Director/Trustee Two

ROBERTO CASTILLO
VICE-CHAIR
6026 SOUTH MARTIN LUTHER KING BLVD
LANSING MI 48911

Officer/Director/Trustee Three

MICHAEL ROCHA
TREASURER
2926 DEERFIELD AVENUE
LANSING MI 48911

Officer/Director/Trustee Four

ALEXANDRIA TORRES
SECRETARY
9465 EAST VERMONTVILLE HIGHWAY
DIMONDALE MI 48821

Officer/Director/Trustee Five

MICHAEL KRASNOSELSKY
SGT AT ARMS
816 WEST MOUNT HOPE HIGHWAY
LANSING MI 48910

Organization’s website HTTP://WWW.CAMPTISDALE.COM
Organization’s email MEMBERSHIP@CAMPTISDALE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/8/2010
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N40 - Sports Training Facilities, Agencies
Organization’s purpose Charitable: No
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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