FORM 1023-EZ for HOLLYS STARLIGHT FOUNDATION

Field Data
EIN 81-0746263
Case Number EO-2016004-000320
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOLLYS STARLIGHT FOUNDATION
Organization’s Mailing Address 477 TAMARACK WATERWORKS RD
City CALUMET
State MI
ZIP 49913
Accounting period End 12
Primary contact name LAURA SIEDERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LAURA SIEDERS
PRESIDENT
477 TAMARACK WATERWORKS RD
CALUMET MI 49913

Officer/Director/Trustee Two

CHARLES SIEDERS
TREASURER
477 TAMARACK WATERWORKS RD
CALUMET MI 49913

Officer/Director/Trustee Three

BARBARA MCLENNAN
SECRETARY
475 TAMARACK WATERWORKS RD
CALUMET MI 49913

Officer/Director/Trustee Four

CATHY COLLINS
BOARD MEMBER
8839 FLATBUSH CT
MANASSAS VA 20109

Officer/Director/Trustee Five

ANITA SHARKUS
BOARD MEMBER
1713 WAINWRIGHT DR
RESTON VA 20190

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/11/2015
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 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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