FORM 1023-EZ for HILLCREST FAMILY MINISTRIES

Field Data
EIN 83-1991746
Case Number EO-2019098-000252
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HILLCREST FAMILY MINISTRIES
Organization’s Mailing Address 7749 N HAWKINS ROAD
City LUTHER
State MI
ZIP 49656
Accounting period End 12
Primary contact name THOMAS E HURLBERT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS HURLBERT
DIRECTOR
7749 N HAWKINS ROAD
LUTHER MI 49656

Officer/Director/Trustee Two

RICHARD ALBRIGHT
SECRETARY
9065 WINTERBERRY DRIVE
WEST OLIVE MI 49460

Officer/Director/Trustee Three

ADAM JOHNSON
TREASURER
PO BOX 7
LEROY MI 49655

Officer/Director/Trustee Four

DAN MILLER
BOARD MEMBER
5625 LAWNDALE
HUDSONVILLE MI 49426

Officer/Director/Trustee Five

JON LASKOWSKI
BOARD MEMBER
7041 40TH
HUDSONVILLE MI 49426

Organization’s website NA
Organization’s email HILLCRESTMINISTRIES@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/24/18
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: Yes
Religious: Yes
Educational: Yes
Scientific: No
Literary: Yes
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 THOMAS HURLBERT
Signature Title DIRECTOR
Signature Date 4/5/19

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