FORM 1023-EZ for HEART OF MICHIGAN BERNESE MOUNTAINDOG RESCUE INC

Field Data
EIN 26-4556894
Case Number EO-2018225-000450
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEART OF MICHIGAN BERNESE MOUNTAINDOG RESCUE INC
Organization’s Mailing Address 18555 WARNER RD
City DECATUR
State MI
ZIP 49045-9414
Accounting period End 12
Primary contact name MARY MALIARIK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

APRIL VANBUREN
PRESIDENT
18555 WARNER RD
DECATUR MI 49045-9414

Officer/Director/Trustee Two

MARY MALIARIK
VICE-PRESIDENT
5894 EARHART RD
ANN ARBOR MI 48105-9465

Officer/Director/Trustee Three

MONA WILLIAMS
TREASURER AND SECRETARY
10170 IRISH ROAD
GOODRICH MI 48438-9095

Officer/Director/Trustee Four

JENNIFER NEU
DIRECTOR
834 HARRISON
GARDEN CITY MI 48135-3125

Officer/Director/Trustee Five

PETER STARKEL
DIRECTOR
1436 OUTER DRIVE WEST
TRAVERSE CITY MI 49685-8687

Organization’s website HTTPS://WWW.MICHIGANBERNESERESCUE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/09
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARY MALIARIK
Signature Title VICE-PRESIDENT
Signature Date 8/10/18
EIN 26-4556894
Case Number EO-2018225-000450
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEART OF MICHIGAN BERNESE MOUNTAIN DOG RESCUE INC
Organization’s Mailing Address 18555 WARNER RD
City DECATUR
State MI
ZIP 49045-9414
Accounting period End 12
Primary contact name MARY MALIARIK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

APRIL VANBUREN
PRESIDENT
18555 WARNER RD
DECATUR MI 49045-9414

Officer/Director/Trustee Two

MARY MALIARIK
VICE-PRESIDENT
5894 EARHART RD
ANN ARBOR MI 48105-9465

Officer/Director/Trustee Three

MONA WILLIAMS
TREASURER AND SECRETARY
10170 IRISH ROAD
GOODRICH MI 48438-9095

Officer/Director/Trustee Four

JENNIFER NEU
DIRECTOR
834 HARRISON
GARDEN CITY MI 48135-3125

Officer/Director/Trustee Five

PETER STARKEL
DIRECTOR
1436 OUTER DRIVE WEST
TRAVERSE CITY MI 49685-8687

Organization’s website HTTPS://WWW.MICHIGANBERNESERESCUE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/09
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARY MALIARIK
Signature Title VICE-PRESIDENT
Signature Date 8/10/18

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