FORM 1023-EZ for BETHEDEN MINISTRIES

Field Data
EIN 82-3095618
Case Number EO-2017291-000279
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BETHEDEN MINISTRIES
Organization’s Mailing Address 9725 WILLOW ROAD
City CLINTON
State MI
ZIP 49236
Accounting period End 12
Primary contact name VICTOR N TEN BRINK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BROOKS CARLSON
PRESIDENT
9725 WILLOW ROAD
CLINTON MI 49236

Officer/Director/Trustee Two

KATHERINE CARLSON
DIRECTOR
9725 WILLOW ROAD
CLINTON MI 49236

Officer/Director/Trustee Three

TODD OLSEN
DIRECTOR
5679 SOUTH ASHFORD WAY
YPSILANTI MI 48197

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/6/2017
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A23 - Cultural, Ethnic Awareness
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 Yes
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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