FORM 1023-EZ for AUTISM GRACE OF LENAWEE

Field Data
EIN 84-4596269
Case Number EO-2020276-000090
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AUTISM GRACE OF LENAWEE
Organization’s Mailing Address 1021 MICHIGAN AVENUE
City ADRIAN
State MI
ZIP 49221
Accounting period End 12
Primary contact name NICOLE UNDERWOOD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MEGAN VANETTEN
PRESIDENT/EXECUTIVE DIRECTOR
1021 MICHIGAN AVE
ADRIAN MI 49221

Officer/Director/Trustee Two

REX CORBIN
TREASURER/DIRECTOR
3737 WISNER HIGHWAY
ADRIAN MI 49221

Officer/Director/Trustee Three

EMILY WALWORTH
VICE PRESIDENT/DIRECTOR
385 S MERIDIAN RD
HUDSON MI 49247

Officer/Director/Trustee Four

DEBBIE CORBIN
SECRETARY/DIRECTOR
3737 WISNER HIGHWAY
ADRIAN MI 49221

Officer/Director/Trustee Five

MICHELLE BOWMAN
DIRECTOR
3167 NORTHMOR DRIVE E
ADRIAN MI 49221

Organization’s website WWW.GRACEOFLENAWEE.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/2020
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MEGAN VANETTEN
Signature Title PRESIDENT/EXECUTIVE DIRECTOR
Signature Date 9/30/2020

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