FORM 1023-EZ for HILAND LAKE CONSERVANCY

Field Data
EIN 85-3025975
Case Number EO-2020266-000046
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HILAND LAKE CONSERVANCY
Organization’s Mailing Address 11431 SUNSET BLVD
City PINCKNEY
State MI
ZIP 48169-9008
Accounting period End 6
Primary contact name VALERIE NIEMIEC
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VALERIE NIEMIEC
PRESIDENT AND SECRETARY
11431 SUNSET BLVD
PINCKNEY MI 48169-9008

Officer/Director/Trustee Two

DENNIS BRENNAN
TREASURER
11341 OUTER DRIVE
PINCKNEY MI 48169-9008

Officer/Director/Trustee Three

JOHN JARVIS
DIRECTOR
11309 OUTER DRIVE
PINCKNEY MI 48169-9008

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/2020
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
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 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 VALERIE NIEMIEC
Signature Title PRESIDENT AND SECRETARY
Signature Date 9/20/2020

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