FORM 1023-EZ for THE PAUL RISBERG HOSPICE FOUNDATION
| Field | Data |
|---|---|
| EIN | 84-1976577 |
| Case Number | EO-2019259-000850 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | THE PAUL RISBERG HOSPICE FOUNDATION |
| Organization’s Mailing Address | 9556 FLEMING ROAD |
| City | FOWLERVILLE |
| State | MI |
| ZIP | 48836-9305 |
| Accounting period End | 12 |
| Primary contact name | JENNIFER FARGO |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JENNIFER FARGO
EXECUTIVE DIRECTOR
9556 FLEMING ROAD
FOWLERVILLE MI 48836-9305
Officer/Director/Trustee Two
PETER HOUK
DIRECTOR
3342 CANOPY DRIVE
DEWITT MI 48820-7768
Officer/Director/Trustee Three
MICHAEL FLOWERS
DIRECTOR
2730 BLACK EAGLE RIDGE
HOWELL MI 48843-6943
Officer/Director/Trustee Four
CINDY FLOWERS
DIRECTOR
2710 BLACK EAGLE RIDGE
HOWELL MI 48843-6943
Officer/Director/Trustee Five
NORAH RISBERG
DIRECTOR
404 E RIVERSIDE STREET
WILLIAMSTON MI 48895-1147
| Organization’s website | N/A |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 5/6/19 |
| Organization Incorporation State | MI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P74 - Hospice |
| Organization’s purpose | Charitable: Yes Religious: No 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 | 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 | JENNIFER FARGO |
| Signature Title | EXECUTIVE DIRECTOR |
| Signature Date | 9/12/19 |
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