FORM 1023-EZ for DUNEGRASS HEALING

Field Data
EIN 37-1893903
Case Number EO-2018120-000512
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DUNEGRASS HEALING
Organization’s Mailing Address 16402 WEST WILLOW DRIVE
City SPRING LAKE
State MI
ZIP 49456
Accounting period End 12
Primary contact name DALE RIETBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EVAN BERNACHE
PRESIDENT AND DIRECTOR
16402 WEST WILLOW DRIVE
SPRING LAKE MI 49456

Officer/Director/Trustee Two

DAVID BURDO
DIRECTOR
16402 WEST WILLOW DRIVE
SPRING LAKE MI 49456

Officer/Director/Trustee Three

JAMIE CROSS
SECRETARY AND DIRECTOR
16402 WEST WILLOW DRIVE
SPRING LAKE MI 49456

Officer/Director/Trustee Four

KYSA MEIGS
TREASURER AND DIRECTOR
16402 WEST WILLOW DRIVE
SPRING LAKE MI 49456

Officer/Director/Trustee Five

DALE RIETBERG
VICE-PRESIDENT
333 BRIDGE ST NW
GRAND RAPIDS MI 49504

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/29/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E99 - Health - General and Rehabilitative N.E.C.
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 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 DALE RIETBERG
Signature Title VICE-PRESIDENT
Signature Date 4/26/18

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