FORM 1023-EZ for SUR HART FAMILY FOUNDATION

Field Data
EIN 47-1865550
Case Number EO-2014297-000032
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUR HART FAMILY FOUNDATION
Organization’s Mailing Address 29635 SIERRA POINTE
City FARMINGTON HILLS
State MI
ZIP 48331
Accounting period End 12
Primary contact name MARK A SUR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARK SUR
PRESIDENT, DIRECTOR
29655 SIERRA POINTE
FARMINGTON HILLS MI 48331

Officer/Director/Trustee Two

CHRISTINE DALTON
VICE PRESIDENT, DIRECTOR
1144 ASHLAND AVE
RIVER FOREST IL 60305

Officer/Director/Trustee Three

CATHERINE SUR-HERZ
SECRETARY, DIRECTOR
3 DORSET HILL RD
WESTFIELD NJ 07090

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/2014
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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