| Field | Data |
|---|---|
| EIN | 47-3736196 |
| Case Number | EO-2015138-000255 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | FORGOTTEN SENIORS MINISTRY INC |
| Organization’s Mailing Address | 410 DAKOTA DR NW |
| City | GRAND RAPIDS |
| State | MI |
| ZIP | 49544 |
| Accounting period End | 12 |
| Primary contact name | JESHUA T LAUKA ESQ |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
GARY STOWIE
PRESIDENT
410 DAKOTA DR NW
GRAND RAPIDS MI 49544
KATHY STOWIE
SECRETARY/TREASURER
410 DAKOTA DR NW
GRAND RAPIDS MI 49544
LAUREN MLAKER
DIRECTOR
901 VANBUREN NW
GRAND RAPIDS MI 49504
BRENT TAYLOR
DIRECTOR
1451 VALLEY NW
GRAND RAPIDS MI 49504
MARK GOTSHALL
DIRECTOR
235 ALTEN AVE NE
GRAND RAPIDS MI 49505
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/24/2015 |
| Organization Incorporation State | MI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | X20 - Christian |
| Organization’s purpose | Charitable: Yes Religious: Yes Educational: No 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 | 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 | Yes |
| One Third Support Gifts | No |
| 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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