FORM 1023-EZ for MEDICAID PLANNING NETWORK

Field Data
EIN 84-3739021
Case Number EO-2019329-000239
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MEDICAID PLANNING NETWORK
Organization’s Mailing Address 878 YORKTOWN CT
City NORTHVILLE
State MI
ZIP 48167
Accounting period End 12
Primary contact name BRUCE KAUFMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRUCE KAUFMAN
EXECUTIVE DIRECTOR
NORTHVILLE MI 48167
NORTHVILLE MI 48167

Officer/Director/Trustee Two

ANNA KAUFMAN
DIRECTOR
878 YORKTOWN CT
NORTHVILLE MI 48167

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/19/19
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E80 - Health, General and Financing
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 BRUCE KAUFMAN
Signature Title EXECUTIVE DIRECTOR
Signature Date 11/21/19

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