FORM 1023-EZ for THE CONSERVANCY INITIATIVE

Field Data
EIN 81-4909360
Case Number EO-2017030-000271
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE CONSERVANCY INITIATIVE
Organization’s Mailing Address 50826 NORTHSTAR WAY
City NORTHVILLE
State MI
ZIP 48168
Accounting period End 12
Primary contact name TRACEY BIRKENHAUER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TRACEY BIRKENHAUER
PRESIDENT/SECRETARY/DIRECTOR
50826 NORTHSTAR WAY
NORTHVILLE MI 48168

Officer/Director/Trustee Two

RICHARD MILLER
VICE PRESIDENT/TREASURER/DIRECTOR
50826 NORTHSTAR WAY
NORTHVILLE MI 48168

Officer/Director/Trustee Three

JASON DOMINA
DIRECTOR
50826 NORTHSTAR WAY
NORTHVILLE MI 48168

Officer/Director/Trustee Four

KRYSTIAN LAGOWSKI
DIRECTOR
50826 NORTHSTAR WAY
NORTHVILLE MI 48168

Officer/Director/Trustee Five

VENUGOPAL MANTHA
DIRECTOR
50826 NORTHSTAR WAY
NORTHVILLE MI 48168

Organization’s website STOPARBORHILLS.COM
Organization’s email SALEMTOWNSHIPDUMP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/9/2017
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C20 - Pollution Abatement and Control Services
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 Yes
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
Signature Title
Signature Date

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