FORM 1023-EZ for INSTITUTE ON NATL SOCIAL INEQUITIES& GAPS IN HEALTH&HEALTH TREATMENT

Field Data
EIN 87-1471624
Case Number EO-2021183-000740
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INSTITUTE ON NATL SOCIAL INEQUITIES& GAPS IN HEALTH&HEALTH TREATMENT
Organization’s Mailing Address 6100 14TH STREET
City DETROIT
State MI
ZIP 48208
Accounting period End 1
Primary contact name CHARLES WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLES WILLIAMS
DIRECTOR
6100 14TH STREET
DETROIT MI 48208

Officer/Director/Trustee Two

WOVINA ELAM
DIRECTOR
6100 14TH STREET
DETROIT MI 48208

Officer/Director/Trustee Three

MAURICE RUDD
DIRECTOR
6100 14TH STREET
DETROIT MI 48208

Organization’s website WWW.COMMUNITYINSIGHTLAB.ORG
Organization’s email CEWII@UMICH.EDU
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2021
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B05 - Research Institutes and/or Public Policy Analysis
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CHARLES WILLIAMS
Signature Title DIRECTOR
Signature Date 6/30/2021

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