FORM 1023-EZ for HEIRLOOM COMMUNION INCORPORATED

Field Data
EIN 84-2715463
Case Number EO-2020125-000491
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HEIRLOOM COMMUNION INCORPORATED
Organization’s Mailing Address 2702 RASKOB ST
City FLINT
State MI
ZIP 48504
Accounting period End 12
Primary contact name GERNISE PARKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GERNISE PARKER
EXECUTIVE DIRECTOR
2702 RASKOB ST
FLINT MI 48504

Officer/Director/Trustee Two

DONTAE HAIRSTON
VICE PRESIDENT
30230 WOODGATE DR
SOUTHFIELD MI 48076

Officer/Director/Trustee Three

JIMANTRA GRANT
SECRETARY
7300 CRYSTAL LAKE DR
SWARTZ CREEK MI 48473

Organization’s website
Organization’s email HEIRLOOMCOMMUNION@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/13/2019
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
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 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 GERNISE PARKER
Signature Title EXECUTIVE DIRECTOR
Signature Date 5/1/2020

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