FORM 1023-EZ for SOUTHFIELD ESQUIRES MENTORING PROGRAM

Field Data
EIN 30-1221018
Case Number EO-2021089-000294
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTHFIELD ESQUIRES MENTORING PROGRAM
Organization’s Mailing Address 12900 BRAEBURN LANE
City PLYMOUTH
State MI
ZIP 48170
Accounting period End 12
Primary contact name RONALD E HORSLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RONALD HORSLEY
DIRECTOR
12900 BRAEBURN LANE
PLYMOUTH MI 48170

Officer/Director/Trustee Two

ANTHONY MOFFETT
DIRECTOR
23152 BEECH ROAD
SOUTHFIELD MI 48033

Organization’s website
Organization’s email SOUTHFIELDESQUIRES@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/4/2020
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 RONALD HORSLEY
Signature Title DIRECTOR
Signature Date 2/11/2021

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