FORM 1023-EZ for MICHIGAN DEAF HEALTH

Field Data
EIN 83-1597763
Case Number EO-2020006-000236
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MICHIGAN DEAF HEALTH
Organization’s Mailing Address 5859 MURFIELD DR
City ROCHESTER HILLS
State MI
ZIP 48306
Accounting period End 6
Primary contact name SARAH HEIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARAH HEIN
PRESIDENT
5859 MURFIELD DR
ROCHESTER HILLS MI 48306

Officer/Director/Trustee Two

DIANE BASS
SECRETARY
566 E 161ST ST
SOUTH HOLLAND IL 60473

Officer/Director/Trustee Three

JOSEPH SAMONA
TREASURER
1515 LONE PINE RD
BLOOMFIELD HILLS MI 48302

Officer/Director/Trustee Four

MICHAEL KORLESKI
PUBLIC RELATIONS
1240 ASTOR AVE APT 2011
ANN ARBOR MI 48104

Officer/Director/Trustee Five

JAHAN FARZAN
PUBLIC RELATIONS
2115 E PROVINCIAL HOUSE DR APT 204
LANSING MI 49810

Organization’s website
Organization’s email MIDEAFHEALTH@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JOSEPH SAMONA
Signature Title TREASURER
Signature Date 1/2/2020

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