FORM 1023-EZ for COLLABORATIVE DIVORCE PROFESSIONALSOF WEST MICHIGAN

Field Data
EIN 47-5408392
Case Number EO-2016074-000186
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COLLABORATIVE DIVORCE PROFESSIONALSOF WEST MICHIGAN
Organization’s Mailing Address 29 PEARL STREET NW SUITE 414
City GRAND RAPIDS
State MI
ZIP 49503-3015
Accounting period End 12
Primary contact name JANE JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SUSAN KEENER
CHAIR
29 PEARL STREET NW SUITE 410
GRAND RAPIDS MI 49503-3015

Officer/Director/Trustee Two

ERICA WIKANDER
TREASURER
29 PEARL STREET NW SUITE 414
GRAND RAPIDS MI 49503-3015

Officer/Director/Trustee Three

ROBERT SCHELLENBERG
OFFICER
528 BRIDGE STREET NW SUITE 5
GRAND RAPIDS MI 49504-5349

Officer/Director/Trustee Four

JUDY OSTRANDER
OFFICER
161 OTTAWA AVENUE NW SUITE 309K
GRAND RAPIDS MI 49503-2701

Officer/Director/Trustee Five

JULIE HAVEMAN
OFFICER
515 MARIETTA STREET NE
GRAND RAPIDS MI 49505-5116

Organization’s website WWW.GENTLERDIVORCE.COM
Organization’s email WWW.JANEJ@VJWPC.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2006
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - 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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