FORM 1023-EZ for FOUNDATION FOR HEALTH AND LONGEVITY
| Field | Data |
|---|---|
| EIN | 83-2865682 |
| Case Number | EO-2019058-000227 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | FOUNDATION FOR HEALTH AND LONGEVITY |
| Organization’s Mailing Address | 8645 SAN MARCO |
| City | STERLING HEIGHTS |
| State | MI |
| ZIP | 48313 |
| Accounting period End | 8 |
| Primary contact name | BRADLEY BURGESS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BRADLEY BURGESS
DIRECTOR
8645 SAN MARCO
STERLING HEIGHTS MI 48313
Officer/Director/Trustee Two
MICHAEL BURGESS
DIRECTOR
8645 SAN MARCO
STERLING HEIGHTS MI 48313
Officer/Director/Trustee Three
DOREEN BURGESS
DIRECTOR
8645 SAN MARCO
STERLING HEIGHTS MI 48313
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 8/30/18 |
| Organization Incorporation State | MI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | G99 - Diseases, Disorders, Medical Disciplines N.E.C. |
| 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 | Yes |
| Donation of funds | Yes |
| 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 | BRADLEY BURGESS |
| Signature Title | DIRECTOR |
| Signature Date | 2/25/19 |
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