FORM 1023-EZ for FORD HOMES HISTORIC DISTRICT

Field Data
EIN 38-2346238
Case Number EO-2021104-000073
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FORD HOMES HISTORIC DISTRICT
Organization’s Mailing Address 22903 PARK ST
City DEARBORN
State MI
ZIP 48124-2660
Accounting period End 1
Primary contact name ERIN KEEM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIN KEEM
TREASURER
22903 PARK ST
DEARBORN MI 48124-2660

Officer/Director/Trustee Two

KATHLEEN ZUBOK
PRESIDENT
22364 GREGORY
DEARBORN MI 48124

Officer/Director/Trustee Three

DANIELLE BERGERON
VICE PRESIDENT
22446 GREGORY
DEARBORN MI 48124

Officer/Director/Trustee Four

ANNE GAUTREAU
SECRETARY
22902 NONA
DEARBORN MI 48124

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/26/1976
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name ERIN KEEM
Signature Title TREASURER
Signature Date 4/7/2021

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