FORM 1023-EZ for HEALTH FOR HARVESTERS INC

Field Data
EIN 84-4147092
Case Number EO-2020006-000555
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEALTH FOR HARVESTERS INC
Organization’s Mailing Address 9920 LANGE RD
City BIRCH RUN
State MI
ZIP 48415-8422
Accounting period End 12
Primary contact name MARYJANE ENGELHART
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARYJANE ENGELHART
PRESIDENT AND DIRECTOR
9920 LANGE RD
BIRCH RUN MI 48415-8422

Officer/Director/Trustee Two

WILLIAM KOEPKE
TREASURER AND DIRECTOR
1903 LATHRUP
SAGINAW MI 48638-4792

Officer/Director/Trustee Three

GEORGE PUIA
DIRECTOR
6068 E MEADOW DR
BAY CITY MI 48706-9081

Officer/Director/Trustee Four

SUSAN PASSENO
DIRECTOR
4395 S MARCUS DR
SAGINAW MI 48603-2046

Organization’s website
Organization’s email HEALTH4HARVESTERS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/2019
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K40 - Nutrition Programs
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 Yes
Conducting Activities Outside of United States Yes
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 MARYJANE ENGELHART
Signature Title PRESIDENT AND DIRECTOR
Signature Date 1/3/2020

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