FORM 1023-EZ for KIMBERLY GRABOW EMS FIREFIGHTER EDUCATION FOUNDATION

Field Data
EIN 27-1865134
Case Number EO-2019339-000348
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name KIMBERLY GRABOW EMS FIREFIGHTER EDUCATION FOUNDATION
Organization’s Mailing Address 20125 25 MILE RD
City MACOMB
State MI
ZIP 48042
Accounting period End 12
Primary contact name MARK GRABOW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK GRABOW
DIRECTOR
20125 25 MILE RD
MACOMB MI 48042

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/2010
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name MARK GRABOW
Signature Title DIRECTOR
Signature Date 12/3/2019
EIN 27-1865134
Case Number EO-2016197-000232
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KIMBERLY GRABOW EMS FIREFIGHTER EDUCATION FOUNDATION
Organization’s Mailing Address 20125 25 MILE ROAD
City MACOMB
State MI
ZIP 48042
Accounting period End 12
Primary contact name MARK GRABOW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK GRABOW
PRESIDENT
20125 25 MILE ROAD
MACOMB MI 48042

Officer/Director/Trustee Two

DONNA KHAN
DIRECTOR
48449 STONE ACRE
MACOMB MI 48042

Officer/Director/Trustee Three

KRISTINA ROBERTSON
DIRECTOR
11965 BRYCE ROAD
EMMETT MI 48022

Officer/Director/Trustee Four

GERALD GRABOW
DIRECTOR
2282 TRAVESE
TROY MI 48083

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/28/2010
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: No
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 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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