FORM 1023-EZ for THIRD COAST ELDER INITIATIVE

Field Data
EIN 87-1711769
Case Number EO-2021252-000492
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THIRD COAST ELDER INITIATIVE
Organization’s Mailing Address 1513O WILDFIELD DR
City SPRING LAKE
State MI
ZIP 49456
Accounting period End 12
Primary contact name RYAN C KEENAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RYAN KEENAN
DIRECTOR PRESIDENT
15130 WILDFIELD DR
SPRING LAKE MI 49456

Officer/Director/Trustee Two

PENNI DEWITT
DIRECTOR TREASURER
13900 STEARNS CT
GRAND HAVEN MI 49417

Officer/Director/Trustee Three

MARCI FEUSTEL
DIRECTOR SECRETARY
11365 144TH AVENUE
WEST OLIVE MI 49460

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/2021
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 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 RYAN KEENAN
Signature Title DIRECTOR PRESIDENT
Signature Date 7/17/2021

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