FORM 1023-EZ for VASA SKI CLUB

Field Data
EIN 27-4266168
Case Number EO-2015176-000357
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VASA SKI CLUB
Organization’s Mailing Address 6222 BUNKER HILL DRIVE
City WILLIAMSBURG
State MI
ZIP 49690
Accounting period End 12
Primary contact name ANDERS JOHN VIRGIL GILLIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RANDY SMITH
PRESIDENT
6222 BUNKER HILL DRIVE
WILLIAMSBURG MI 49690

Officer/Director/Trustee Two

JENNIFER BROWN
TREASURER
536 WEST ELEVENTH STREET
TRAVERSE CITY MI 49684

Officer/Director/Trustee Three

JUDY VAJDA
VICE PRESIDENT
3283 WEMPLE ROAD
TRAVERSE CITY MI 49686

Officer/Director/Trustee Four

GUSSIE PETERSON
SECRETARY
1356 BUCHAN DRIVE
TRAVERSE CITY MI 49686

Officer/Director/Trustee Five

ANDERS GILLIS
DIRECTOR
4442 PROUTY ROAD
TRAVERSE CITY MI 49686

Organization’s website HTTP://WWW.VASASKICLUB.ORG/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/5/2010
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
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
Signature Title
Signature Date

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