FORM 1023-EZ for LAKE HURON MICHIGAN HEALTH INFORMATION MANAGEMENT ASSOCIATION
| Field | Data |
|---|---|
| EIN | 41-2225566 |
| Case Number | EO-2019161-000513 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LAKE HURON MICHIGAN HEALTH INFORMATION MANAGEMENT ASSOCIATION |
| Organization’s Mailing Address | 5500 RICHFIELD RD |
| City | FLINT |
| State | MI |
| ZIP | 48506 |
| Accounting period End | 11 |
| Primary contact name | SANDRA KAY ZUBKE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
PATTY VANDERHOFF
PRESIDENT
615 COLLEGE AVENE
GRAND RAPIDS MI 49503
Officer/Director/Trustee Two
MEGAN KING
PRESIDENT ELECT
536 N CLYDE RD
MIDLAND MI 48640
Officer/Director/Trustee Three
NICHOLE LOSHAW
SECRETARY
420 E 2ND ST
GAYLORD MI 49735
Officer/Director/Trustee Four
SANDRA KAY ZUBKE
TREASURER
5500 RICHFIELD RD
FLINT MI 48506
Officer/Director/Trustee Five
KELLY BENNETT
NOMINATING COMMITTEE
11706 CRANBERRY RD
GLADWIN MI 48624
| Organization’s website | |
|---|---|
| Organization’s email | LAKEHURONMHIMA@YAHOO.COM |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/18/14 |
| Organization Incorporation State | MI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | J03 - Professional Societies, Associations |
| 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | SANDRA KAY ZUBKE |
| Signature Title | TREASURER |
| Signature Date | 6/7/19 |
| EIN | 41-2225566 |
| Case Number | EO-2015084-000281 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | LAKE HURON MICHIGAN HEALTH INFORMATION MANAGEMENT ASSOCIATION |
| Organization’s Mailing Address | 4116 DUTCHER RD |
| City | GLADWIN |
| State | MI |
| ZIP | 48624 |
| Accounting period End | 10 |
| Primary contact name | GLENDA NIELSON |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
GLENDA NIELSON
PRESIDENT
4116 DUTCHER RD
GLADWIN MI 48624
Officer/Director/Trustee Two
DAWNE BECKLEY
PRESIDENT ELECT
11348 TOWER RD
BYRON MI 48418
Officer/Director/Trustee Three
MARY LOU LAUGHNER
TREASURER
2319 CHERRY TREE LN
GRAND BLANC MI 48439
Officer/Director/Trustee Four
SANDRA KAY ZUBKE
SECRETARY
12267 N CENTER RD
CLIO MI 48420
Officer/Director/Trustee Five
KELLY BENNETT
NOMINATING CHAIR
11706 CRANBERRY LAKE RD
GLADWIN MI 48624
| Organization’s website | LHMHIMA.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | No |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 10/18/2014 |
| Organization Incorporation State | MI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | J03 - Professional Societies, Associations |
| 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 | |
| Signature Title | |
| Signature Date |
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