FORM 1023-EZ for LILLEY CARES
| Field | Data |
|---|---|
| EIN | 30-1221662 |
| Case Number | EO-2020037-000308 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | LILLEY CARES |
| Organization’s Mailing Address | 570 SEMINOLE ROAD |
| City | MUSKEGON |
| State | MI |
| ZIP | 49444 |
| Accounting period End | 12 |
| Primary contact name | DALE RIETBERG |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ROBERT LOPEZ
EXECUTIVE DIRECTOR
570 SEMINOLE ROAD
MUSKEGON MI 49444
Officer/Director/Trustee Two
KIM VAN KAMPEN
CHAIRMAN AND DIRECTOR
570 SEMINOLE ROAD
MUSKEGON MI 49444
Officer/Director/Trustee Three
PATRICK ROGGENBAU
PRESIDENT AND DIRECTOR
570 SEMINOLE ROAD
MUSKEGON MI 49444
Officer/Director/Trustee Four
JOAN MACK
SECRETARY, TREASURER AND DIRECTOR
570 SEMINOLE ROAD
MUSKEGON MI 49444
Officer/Director/Trustee Five
DALE RIETBERG
VICE PRESIDENT
333 BRIDGE STREET NW
GRAND RAPIDS MI 49504
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 1/14/2020 |
| Organization Incorporation State | MI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | S99 - Community Improvement, Capacity Building N.E.C. |
| Organization’s purpose | Charitable: Yes 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 | Yes |
| Donation of funds | No |
| Conducting Activities Outside of United States | No |
| Financial transactions with officers | Yes |
| 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 | DALE RIETBERG |
| Signature Title | VICE PRESIDENT |
| Signature Date | 2/4/2020 |
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