FORM 1023-EZ for SAGINAW LONGEVITY FOUNDATION

Field Data
EIN 85-4330449
Case Number EO-2021093-000656
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAGINAW LONGEVITY FOUNDATION
Organization’s Mailing Address 5403 S GRAHAM ROAD
City ST CHARLES
State MI
ZIP 48655
Accounting period End 12
Primary contact name KOSTA D POVICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMUEL MAYER
PRESIDENT/DIRECTOR
12384 BEAVER ROAD
ST CHARLES MI 48655

Officer/Director/Trustee Two

MARK PARSON
VICE PRESIDENT/DIRECTOR
14610 ROE ROAD
HEMLOCK MI 48626

Officer/Director/Trustee Three

BEAU HOFFMAN
SECRETARY/TREASURER/DIRECTOR
2894 N ORR ROAD
HEMLOCK MI 48626

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/17/2020
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J21 - Vocational Counseling, Guidance and Testing
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 Yes
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 SAMUEL MAYER
Signature Title PRESIDENT/DIRECTOR
Signature Date 3/3/2021

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