FORM 1023-EZ for JEREMIE HAITI PROJECT

Field Data
EIN 47-2705441
Case Number EO-2015021-000302
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JEREMIE HAITI PROJECT
Organization’s Mailing Address 1589 MAPLE ROAD
City BIRMINGHAM
State MI
ZIP 48009
Accounting period End 12
Primary contact name CARMEN S ZEIGLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CARMEN ZEIGLER
PRESIDENT
33076 MAZARA
FRASER MI 48026

Officer/Director/Trustee Two

JOHN SMITH
TREASURER
2 CHELSEA CT
METAMORA MI 48355

Officer/Director/Trustee Three

BETH TITUS
VICE PRESIDENT
6771 KESTRAL RIDGE
BRIGHTON MI 48116

Officer/Director/Trustee Four

NORMA TAYLOR
SECRETARY
38108 CHARWOOD
STERLING HEIGHTS MI 48312

Organization’s website HTTP://WWW.JEREMIEPROJECT.ORG/
Organization’s email CARMENSZ@WOWWAY.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/2014
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
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 Yes
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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