FORM 1023-EZ for THE GOOD SAMARITANS OF EASTERN MICHIGAN

Field Data
EIN 83-2706548
Case Number EO-2019198-000079
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE GOOD SAMARITANS OF EASTERN MICHIGAN
Organization’s Mailing Address 405 TURRILL AVE
City LAPEER
State MI
ZIP 48446
Accounting period End 12
Primary contact name MICHAEL WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DONNA RUPPERT
PRESIDENT
405 TURRILL AVE
LAPEER MI 48446

Officer/Director/Trustee Two

WILBERT D RUPPERT
VICE PRESIDENT
405 TURRILL AVE
LAPEER MI 48446

Officer/Director/Trustee Three

ROXANNE GRIMES
SECRETARY/TREASURER
1551 NORTH BRANCH ROAD
NORTH BRANCH MI 48412

Officer/Director/Trustee Four

JO PRESCOTT
TREASURER
4135 IMLAY CITY ROAD
ATTICA MI 48412

Officer/Director/Trustee Five

MICHAEL WILSON
DIRECTOR
2542 FARNSWORTH RD
LAPEER MI 48446

Organization’s website WWW.GOODSAMATITANS-EMI.COM
Organization’s email GSEMINFO@GOODSAMARITANS-EMI.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/19
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
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 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 DONNA RUPPERT
Signature Title PRESIDENT
Signature Date 7/15/19

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