FORM 1023-EZ for MID-MICHIGAN EATING DISORDER RECOVERY ALLIANCE

Field Data
EIN 83-1127344
Case Number EO-2018218-000572
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MID-MICHIGAN EATING DISORDER RECOVERY ALLIANCE
Organization’s Mailing Address PO BOX 2265
City MIDLAND
State MI
ZIP 48641
Accounting period End 12
Primary contact name REBECCA BRUMM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REBECCA BRUMM
PRESIDENT AND CFO
2105 E ASHMAN
MIDLAND MI 48642

Officer/Director/Trustee Two

KATI MORA
COMMUNITY ENGAGEMENT CHAIR
627 HIGHLAND ST
MIDLAND MI 48642

Officer/Director/Trustee Three

LISA CARPENTER
EVENT COORDINATOR
1001 FAIRFIELD
MT PLEASANT MI 48858

Officer/Director/Trustee Four

LISA THOMPSON
COMMUNICATIONS AND PR CHAIR
2916 ABBOTT
MIDLAND MI 48642

Officer/Director/Trustee Five

JENNIFER CAMPBELL
VICE PRESIDENT AND SECRETARY
301 W MIDLAND
AUBURN MI 48611

Organization’s website HTTP://MMEDRA.COM/
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/8/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F53 - Eating Disorder, Addiction
Organization’s purpose Charitable: No
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 REBECCA BRUMM
Signature Title PRESIDENT AND CFO
Signature Date 8/3/18

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