FORM 1023-EZ for JOSEPHS GENETIC JOURNEY PAYS IT FORWARD

Field Data
EIN 46-5115627
Case Number EO-2016175-000172
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name JOSEPHS GENETIC JOURNEY PAYS IT FORWARD
Organization’s Mailing Address 6772 LAKE DRIVE
City HASTINGS
State MI
ZIP 49058
Accounting period End 12
Primary contact name HEIDI TYNER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HEIDI TYNER
PRESIDENT
6772 LAKE DRIVE
HASTINGS MI 49058

Officer/Director/Trustee Two

SUSAN TYNER
VICE PRESIDENT
6774 LAKE DRIVE
HASTINGS MI 49058

Officer/Director/Trustee Three

KAREN HAYWARD
TREASURER
9493 KELLER ROAD
DELTON MI 49046

Officer/Director/Trustee Four

MARGRETTA ALBIE BRUNNER
SECRETARY
6111 GUERNSEY LAKE ROAD
DELTON MI 49046

Officer/Director/Trustee Five

JAMES BRUNNER
SERGEANT AT ARMS
6111 GUERNSEY LAKE ROAD
DELTON MI 49046

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/7/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E19 - Nonmonetary Support N.E.C.
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
Signature Title
Signature Date

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