FORM 1023-EZ for DAVISON HOLISTIC INCORPORATED

Field Data
EIN 47-3958975
Case Number EO-2015133-000119
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DAVISON HOLISTIC INCORPORATED
Organization’s Mailing Address 39 EAST DAKOTA
City DETROIT
State MI
ZIP 48203
Accounting period End 12
Primary contact name RANDY WALKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DAVID YARBER
CHAIRMAN
39 EAST DAKOTA
DETROIT MI 48203

Officer/Director/Trustee Two

RANDY WALKER
SECRETARY
2120 LANGHAM DRIVE
W BLOOMFIELD MI 48323

Officer/Director/Trustee Three

BOBBY L BURCH JR
TREASURER
33725 MONTERRA LANE
STERLING HEIGHTS MI 48312

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/1/2015
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: Yes
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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