FORM 1023-EZ for PREVENTION CONCEPTS AND SOLUTIONS

Field Data
EIN 82-2654840
Case Number EO-2017257-000065
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PREVENTION CONCEPTS AND SOLUTIONS
Organization’s Mailing Address 1423 SOUTH BELSAY ROAD
City BURTON
State MI
ZIP 48509
Accounting period End 9
Primary contact name DAVID DUDEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID DUDEK
CHAIR
2911 OLDEN OAK LN
AUBURN HILLS MI 48326

Officer/Director/Trustee Two

JASON FOLTZ
SECRETRARY
1168 KEBLE LN
OXFORD MI 48371

Officer/Director/Trustee Three

LYDIA BAXTER
VICE CHAIR
2312 BAGLEY ST
FLINT MI 48504

Officer/Director/Trustee Four

SYDNEY JOHNSON
TREASURER
7400 BAY ROAD
SAGINAW MI 48604

Organization’s website WWW.PREVENTIONCONCEPTSINC.ORG
Organization’s email PREVENTIONCONCEPTS@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/2017
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
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 Yes
One Third Support Gifts No
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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