FORM 1023-EZ for LUKE PROJECT 52 CLINIC OF FLINT

Field Data
EIN 86-3472175
Case Number EO-2021133-000326
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LUKE PROJECT 52 CLINIC OF FLINT
Organization’s Mailing Address 8384 RIVERWALK DRIVE
City FENTON
State MI
ZIP 48430
Accounting period End 12
Primary contact name BRADLEY G GARRISON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRADLEY GARRISON
PRESIDENT
8384 RIVERWALK DRIVE
FENTON MI 48430

Officer/Director/Trustee Two

TIFFANY BURRELL
VICE-PRESIDENT
47567 PEMBROKE DR
CANTON MI 48188

Officer/Director/Trustee Three

CHRISTINE POLLEY
SECRETARY
9133 BROOKSIDE DR
WHITMORE LAKE MI 48189

Officer/Director/Trustee Four

JENNIFER KOSAKOWSKI
TREASURER
54914 TENZIEN DR
MACOMB MI 48042

Organization’s website NA
Organization’s email BGARRISO@REAGAN.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/20/2021
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E40 - Reproductive Health Care Facilities and Allied Services
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 No
Correctness Declaration Yes
Signature Name BRADLEY GARRISON
Signature Title PRESIDENT
Signature Date 5/11/2021

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