FORM 1023-EZ for THE LIBERATION 12 FOUNDATION INCORPORATED

Field Data
EIN 81-3041683
Case Number EO-2016187-000481
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE LIBERATION 12 FOUNDATION INCORPORATED
Organization’s Mailing Address 800 WEST AVON ROAD
City ROCHESTER HILLS
State MI
ZIP 48307
Accounting period End 12
Primary contact name ANGELA HOLCOMB
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANGELA HOLCOMB
CHIEF EXECUTIVE OFFICER
800 WEST AVON ROAD
ROCHESTER HILLS MI 48307

Officer/Director/Trustee Two

MARIA BANOU
CHIEF FINANCIAL OFFIER
4695 WALNUT LAKE ROAD
BLOOMFIELD HILLS MI 48301

Officer/Director/Trustee Three

DARREN HOLCOMB
GENERAL ADVISING OFFICER
800 WEST AVON ROAD
ROCHESTER HILLS MI 48307

Officer/Director/Trustee Four

KELSEY BIGLER
GENERAL ADVISING OFFICER
10331 FIELDSTONE COURT
GOODRICH MI 48438

Organization’s website LIBERATIONTWELVE.WEEBLY.COM
Organization’s email LIBERATIONTWELVE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - Fund Raising and/or Fund Distribution
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 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 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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