FORM 1023-EZ for GENESEE COUNTY HISPANIC LATINO COLLABORATIVE INC

Field Data
EIN 47-5491144
Case Number EO-2016014-000394
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GENESEE COUNTY HISPANIC LATINO COLLABORATIVE INC
Organization’s Mailing Address 3058 MISTY CREEK DR
City SWARTZ CREEK
State MI
ZIP 48473-8628
Accounting period End 12
Primary contact name ARMANDO HERNANDEZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SANJUANA OLIVARES
CHAIR
425 W 7TH STREET
FLINT MI 48503

Officer/Director/Trustee Two

MARICELA GARCI
VICE-CHAIR
2472 NOLEN DRIVE
FLINT MI 48504

Officer/Director/Trustee Three

ENRIQUE RODRIGUEZ
TREASURER
G3100 MILLER
FLINT MI 48507

Officer/Director/Trustee Four

EMILY FEUERHERM
SECRETARY
1505 BROOKWOOD AVE
FLINT MI 48503

Officer/Director/Trustee Five

ARMANDO HERNANDEZ
DIRECTOR
3058 MISTY CREEK DR
SWARTZ CREEK MI 48473

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/17/2015
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 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
Signature Title
Signature Date

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