FORM 1023-EZ for HMT-VIZAG INC

Field Data
EIN 84-4183373
Case Number EO-2020139-000071
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HMT-VIZAG INC
Organization’s Mailing Address 170 COLLEGE AVENUE STE 260
City HOLLAND
State MI
ZIP 49423
Accounting period End 12
Primary contact name SAMUEL MASON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAMUEL MASON
DIRECTOR / TREASURER
8676 SUN PARK DRIVE
ZEELAND MI 49464

Officer/Director/Trustee Two

GENE KLAASEN
DIRECTOR / SECRETARY
6030 HERITAGE MEADOW DRIVE
HOLLAND MI 49423

Officer/Director/Trustee Three

ROGER ROWAN
DIRECTOR / PRESIDENT
402 HIGHLAND HILL
SAN ANTONIO TX 78260

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/7/2020
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q33 - International Relief
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 SAMUEL MASON
Signature Title DIRECTOR / TREASURER
Signature Date 5/14/2020

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