FORM 1023-EZ for TRILOGY HEALTH TRAINING FOUNDATION

Field Data
EIN 81-3910639
Case Number EO-2017054-000247
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TRILOGY HEALTH TRAINING FOUNDATION
Organization’s Mailing Address 1335 COACH HOUSE LANE
City SOUTH LYON
State MI
ZIP 48178
Accounting period End 12
Primary contact name BARRY PAXTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARRY PAXTON
OFFICER
1335 COACH HOUSE LN
SOUTH LYON MI 48178

Officer/Director/Trustee Two

SANDRA PAXTON
OFFICER
1335 COACH HOUSE LANE
SOUTH LYON MI 48178

Officer/Director/Trustee Three

SANDRA MARCUKAITIS
OFFICER
1301 PAYNE LAKE RD
MIDDLEVILLE MI 49333

Officer/Director/Trustee Four

BAILEY PAXTON
OFFICER
1335 COACH HOUSE LANE
SOUTH LYON MI 48178

Officer/Director/Trustee Five

ANDREW PAXTON
OFFICER
1335 COACH HOUSE LANE
SOUTH LYON MI 48178

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E92 - Home Health Care
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 Yes
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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