FORM 1023-EZ for DOWN SYNDROME HEAD START PROGRAM
| Field | Data |
|---|---|
| EIN | 82-0825182 |
| Case Number | EO-2017248-000205 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | DOWN SYNDROME HEAD START PROGRAM |
| Organization’s Mailing Address | P O BOX 221 |
| City | WILLIS |
| State | MI |
| ZIP | 48191 |
| Accounting period End | 12 |
| Primary contact name | MISTY GRAY-KLUCK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MISTY GRAY-KLUCK
PRESIDENT
10085 TALLADAY RD
WILLIS MI 48191
Officer/Director/Trustee Two
RACHEL JOHNSON OSTROWSKI
TREASURER
7636 WHITTAKER RD
YPSILANTI MI 48197
Officer/Director/Trustee Three
JILL PENNA
SECRETARY
7857 TUTTLE HILL RD
YPSILANTI MI 48197
Officer/Director/Trustee Four
MARY BOVIN
DIRECTOR
101 RIVERVIEW CIRCLE
SALINE MI 48176
Officer/Director/Trustee Five
DONELLA GRISSOM
DIRECTOR
7119 HOMESTEAD ROAD
YPSILANTI MI 48197
| Organization’s website | WWW.DOWNSYNDROMEHEADSTART.COM |
|---|---|
| Organization’s email | SUPPORT@DOWNSYNDROMEHEADSTART.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/25/2017 |
| Organization Incorporation State | MI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B01 - Alliance/Advocacy Organizations |
| 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 | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date |
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