FORM 1023-EZ for WEST MICHIGAN COALITION FOR BREAST HEALTH

Field Data
EIN 20-1599604
Case Number EO-2017215-000508
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name WEST MICHIGAN COALITION FOR BREAST HEALTH
Organization’s Mailing Address PO BOX 1438
City GRAND RAPIDS
State MI
ZIP 49501-1438
Accounting period End 12
Primary contact name KATHY SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KATHY SMITH
CO-CHAIRMAN
4311 VALLEY SIDE COURT NE
GRAND RAPIDS MI 49525

Officer/Director/Trustee Two

TRACEY WHITING
CO-CHAIRMAN
1135 WATKINS
GRAND RAPIDS MI 49507

Officer/Director/Trustee Three

DENISE MCCARTY
TREASURER
6816 FOREST VALLEY SE
GRAND RAPIDS MI 49546

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/2004
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
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 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
Signature Title
Signature Date

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