FORM 1023-EZ for MISS FLAT RIVER HERITAGE

Field Data
EIN 84-2614994
Case Number EO-2021172-000138
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MISS FLAT RIVER HERITAGE
Organization’s Mailing Address 805 HAWTHORNE
City GREENVILLE
State MI
ZIP 48838
Accounting period End 12
Primary contact name MARK HEATH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CAROL WARNER
PRESIDENT
11375 HEINTZELMAN
ROCKFORD MI 49341

Officer/Director/Trustee Two

KELSEY ANN WARNER
VICE-PRESIDENT
2670 HOLLAND LAKE RD
SIDNEY MI 48885

Officer/Director/Trustee Three

PAMELA D JORAE
TREASURER
805 HAWTHORNE
GREENVILLE MI 48838

Officer/Director/Trustee Four

JULIANA MORANO
SECRETARY
10635 RIDGEWOOD DR
GREENVILLE MI 48838

Organization’s website
Organization’s email PJORAE1@CHARTER.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/2019
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: Yes
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 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 PAMELA D JORAE
Signature Title TREASURER
Signature Date 6/16/2021

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