FORM 1023-EZ for SOURCE EMERGE WITHIN
| Field | Data |
|---|---|
| EIN | 85-3901511 |
| Case Number | EO-2021018-000032 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SOURCE EMERGE WITHIN |
| Organization’s Mailing Address | 2950 BIRNAM CT |
| City | OAKLAND TOWNSHIP |
| State | MI |
| ZIP | 48306 |
| Accounting period End | 12 |
| Primary contact name | DIANNE MATTINA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
DIANNE MATTINA
PRESIDENT
2950 BIRNAM CT
OAKLAND TOWNSHIP MI 48306
Officer/Director/Trustee Two
DAWN LACOURISERE
VP AND SECRETARY
18913 STRONGFORD
MACOMB MI 48044
Officer/Director/Trustee Three
WENDY FOURNIER
ADVISORY BOARD
21607 MADISON ST
SAINT CLAIR SHORES MI 48081
Officer/Director/Trustee Four
SHANNON MCCABE
ADVISORY BOARD
2258 REMICK DR
CLINTON TOWNSHIP MI 48036
| Organization’s website | |
|---|---|
| Organization’s email | ADMIN@SOURCEEMERGE-WITHIN.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/22/2020 |
| Organization Incorporation State | MI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | X99 - Religion Related, Spiritual Development N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: Yes 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 | No |
| 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 | DIANNE MATTINA |
| Signature Title | PRESIDENT |
| Signature Date | 11/18/2020 |
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