FORM 1023-EZ for GRATEFUL HEARTED

Field Data
EIN 83-2069829
Case Number EO-2018334-000329
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRATEFUL HEARTED
Organization’s Mailing Address P O BOX 106
City AMASA
State MI
ZIP 49903
Accounting period End 12
Primary contact name TAMARA RUMSEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMARA RUMSEY
PRESIDENT/TREASURER
P O BOX 106
CRYSTAL FALLS MI 49920

Officer/Director/Trustee Two

JAN LEMKE
VICE PRESIDENT
411 MCCLAREN RD
CRYSTAL FALLS MI 49920

Officer/Director/Trustee Three

BETH NELSON
SECRETARY
483 IDLEWILD
CRYSTAL FALLS MI 49920

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/4/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 TAMARA RUMSEY
Signature Title PRESIDENT/TREASURER
Signature Date 11/28/18

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