FORM 1023-EZ for STAR TREATMENTS

Field Data
EIN 47-1065170
Case Number EO-2014308-000157
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name STAR TREATMENTS
Organization’s Mailing Address 3519 FENNER RD
City MUSKEGON
State MI
ZIP 49445-1829
Accounting period End 12
Primary contact name STEFANIE BEMBENEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MATTHEW DIRITO
DIRECTOR/FOUNDER
3519 FENNER RD
MUSKEGON MI 49445-1829

Officer/Director/Trustee Two

STEFANIE BEMBENEK
DIRECTOR
1023 RICHBOROUGH RD
GREEN BAY WI 54313-9593

Officer/Director/Trustee Three

JOHNNIE VRANA
DIRECTOR
8051 CAMINITO MALLORCA
LA JOLLA CA 92037-2915

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/14/2014
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P52 - Transportation, Free or Subsidized
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 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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