FORM 1023-EZ for REPLENISHED

Field Data
EIN 47-4540623
Case Number EO-2015251-000337
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name REPLENISHED
Organization’s Mailing Address 1878 OAK AVENUE
City MUSKEGON
State MI
ZIP 49442
Accounting period End 12
Primary contact name EARVEAN DIGGS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

EARVEAN DIGGS
PRESIDENT/DIRECTOR
1878 OAK AVENUE
MUSKEGON MI 49442

Officer/Director/Trustee Two

DERIKA NICHOLS-LEWIS
SECRETARY/DIRECTOR
615 E LINCOLN
MUSKEGON HEIGHTS MI 49444

Officer/Director/Trustee Three

VICKIE MURPHY
TREASURER/DIRECTOR
2142 MARVIN AVENUE
MUSKEGON MI 49442

Officer/Director/Trustee Four

MARY JOE FRENCH
DIRECTOR
523 BOELENS COURT
SPRING LAKE MI 49456

Officer/Director/Trustee Five

BRADLEY PERKINS
DIRECTOR
2458 HATHAWAY COURT
MUSKEGON MI 49441

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/15/2015
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P45 - Family Services, Adolescent Parents
Organization’s purpose Charitable: Yes
Religious: No
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 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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