FORM 1023-EZ for ROBERT MARY CARY FOUNDATION

Field Data
EIN 20-5108022
Case Number EO-2015190-000342
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROBERT MARY CARY FOUNDATION
Organization’s Mailing Address 8163 GRAND RIVER ROAD SUITE 100
City BRIGHTON
State MI
ZIP 48114
Accounting period End 12
Primary contact name CHARLES G HODGSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARGARET HODGSON
PRESIDENT TREASURER
5566 CIDERBERRY DRIVE
BRIGHTON MI 48116

Officer/Director/Trustee Two

JEANNE BIERI
VICE PRESIDENT SECRETARY
10 PROVENCAL DRIVE
GROSSE POINTE FARMS MI 48236

Officer/Director/Trustee Three

JAMES CARY
DIRECTOR
1130 S YOUNG STREET
HASTINGS MI 49058

Officer/Director/Trustee Four

SUSAN CARY
DIRECTOR
2059 COOK ROAD
HASTINGS MI 49058

Officer/Director/Trustee Five

CHARLES HODGSON
DIRECTOR
8163 GRAND RIVER ROAD SUITE 100
BRIGHTON MI 48114

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/2006
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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