FORM 1023-EZ for HOME OF HOPE AND HEALING INC

Field Data
EIN 27-3097713
Case Number EO-2016291-000402
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOME OF HOPE AND HEALING INC
Organization’s Mailing Address 313 N WASHINGTON AVE
City IRON RIVER
State MI
ZIP 49935-1533
Accounting period End 12
Primary contact name STAN BRZOZNOWSKI SR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STANLEY BRZOZNOWSKI SR
PRESIDENT
313 N WASHINGTON AVE
IRON RIVER MI 49935-1533

Officer/Director/Trustee Two

BRIAN BRZOZNOWSKI
V-PRESIDENT
607 FERN ST
IRON RIVER MI 49935-2118

Officer/Director/Trustee Three

MIKE BRZOZNOWSKI
DIRECTOR
313 N WASHINGTON AVE
IRON RIVER MI 49935-1533

Officer/Director/Trustee Four

PASTOR JIM PELLIZZER
DIRECTOR
1408 N 1ST AVE
IRON RIVER MI 49935-1108

Officer/Director/Trustee Five

HERB GREEN
DIRECTOR
PO BOX 0164 95 CENTER
GAASTRA MI 49927-0164

Organization’s website
Organization’s email HHHCARES@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/18/2010
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
Organization’s purpose Charitable: Yes
Religious: Yes
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 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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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