FORM 1023-EZ for PARENTS OF LOSS

Field Data
EIN 83-0788529
Case Number EO-2018183-000090
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PARENTS OF LOSS
Organization’s Mailing Address 3238 ROON THE BEN
City ANN ARBOR
State MI
ZIP 48108
Accounting period End 12
Primary contact name AMBER HORWITZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AMBER HORWITZ
PRESIDENT
3238 ROON THE BEN
ANN ARBOR MI 48104

Officer/Director/Trustee Two

JOSHUA HORWITZ
VICE PRESIDENT
3238 ROON THE BEN
ANN

Officer/Director/Trustee Three

BRIDGET CLOUGH
TRUSTEE
2018 HARDING AVE
YPSILANTI MI 48197

Officer/Director/Trustee Four

EMILY FLORES
TRUSTEE
306 NORTH ADAMS
YPSILANTI MI 48197

Officer/Director/Trustee Five

PAM HERBSTER
TRUSTEE
1155 WEST HURON RIVER DRIVE
ANN ARBOR MI 48103

Organization’s website WWW.PROUDPARENTSOFLOSS.ORG
Organization’s email AMBER@PROUDPARENTSOFLOSS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/7/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 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 AMBER HORWITZ
Signature Title PRESIDENT
Signature Date 6/28/18

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