FORM 1023-EZ for MATERNAL WELLNESS PROGRAM

Field Data
EIN 81-4798427
Case Number EO-2020036-000245
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MATERNAL WELLNESS PROGRAM
Organization’s Mailing Address 1532 MULLINS AVE NW
City WALKER
State MI
ZIP 49534
Accounting period End 12
Primary contact name TABITHA GRASSMID
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHLEEN BUCHANAN
PRESIDENT
3279 WILDRIDGE NE
GRAND RAPIDS MI 49525

Officer/Director/Trustee Two

CARRIE STEPHENS
EXECUTIVE DIRECTOR
2911 PICKFORD DR SE
ADA MI 49301

Officer/Director/Trustee Three

JESSICA ABBOTT
SECRETARY
636 KENDALWOOD ST NE
GRAND RAPIDS MI 49505

Officer/Director/Trustee Four

RACHELLE SOVA
TREASURER
309 W MUSKEGON ST
CEDAR SPRINGS MI 49319

Officer/Director/Trustee Five

TABITHA GRASSMID
VICE PRESIDENT
1532 MULLINS AVE NW
WALKER MI 49534

Organization’s website MATERNALWELLNESSPROGRAM.ORG
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2017
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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 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 TABITHA GRASSMID
Signature Title VICE PRESIDENT
Signature Date 2/3/2020
EIN 81-4798427
Case Number EO-2017006-000097
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MATERNAL WELLNESS PROGRAM
Organization’s Mailing Address PO 150384
City GRAND RAPIDS
State MI
ZIP 49515-0384
Accounting period End 12
Primary contact name TABITHA GRASSMID
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TABITHA GRASSMID
EXECUTIVE DIRECTOR
1532 MULLINS AVE NW
WALKER MI 49534

Officer/Director/Trustee Two

KATHLEEN BUCHANAN
PRESIDENT
3580 MICHIGAN NE
GRAND RAPIDS MI 49525

Officer/Director/Trustee Three

DANA LEARY-JOKERST
VICE PRESIDENT
7440 CARPET ROSE DR SE
CALEDONIA MI 49316

Officer/Director/Trustee Four

JESSICA ABBOTT
TREASURER
636 KENDALWOOD ST NE
GRAND RAPIDS MI 49505

Officer/Director/Trustee Five

PATRICIA HAWKINS
SECRETARY
1834 CROSS BEND NE
GRAND RAPIDS MI 49505

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/28/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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 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
Signature Title
Signature Date

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