FORM 1023-EZ for LHS SANP

Field Data
EIN 81-1957085
Case Number EO-2016286-000172
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LHS SANP
Organization’s Mailing Address 4731 S QUARRY CREEK DRIVE
City WHITE LAKE
State MI
ZIP 48383
Accounting period End 6
Primary contact name SHANNON WIKLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBIN KOWALSKI
PRESIDENT
1942 MARGIE DRIVE
WHITE LAKE MI 48386

Officer/Director/Trustee Two

RENEE BEEKER
VICE-PRESIDENT
2874 CANTERBURY COURT
MILFORD MI 48381

Officer/Director/Trustee Three

SHANNON WIKLE
OFFICER
4731 S QUARRY CREEK DRIVE
WHITE LAKE MI 48383

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O12 - 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
Signature Title
Signature Date

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