FORM 1023-EZ for CAMP BRETHREN HEIGHTS INC

Field Data
EIN 47-1061242
Case Number EO-2015355-000172
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CAMP BRETHREN HEIGHTS INC
Organization’s Mailing Address 9478 BRETHREN HEIGHTS ROAD
City RODNEY
State MI
ZIP 49342
Accounting period End 12
Primary contact name RANDALL WESTFALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RANDALL WESTFALL
CAMP DIRECTOR
9478 BRETHREN HEIGHTS RD
RODNEY MI 49342

Officer/Director/Trustee Two

PAUL FITZPATRICK
BOARD CHAIR
4095 OAK VALLEY AVE SW
WYOMING MI 49519

Officer/Director/Trustee Three

TIM JOSEPH
VICE CHAIR
11171 KERRY RD
BRETHREN MI 49619

Officer/Director/Trustee Four

DAN WOODRUFF
SECRETARY
5727 SHERIDAN RD
SAGINAW MI 48601

Officer/Director/Trustee Five

DAN MCROBERTS
TREASURER
6677 MILL RUN
CALEDONIA MI 49316

Organization’s website WWW.CAMPBRETHRENHEIGHTSMI.ORG
Organization’s email BRETHRENHEIGHTS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/2015
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: No
Religious: Yes
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 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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