FORM 1023-EZ for MY SISTERS ARMS

Field Data
EIN 81-1813932
Case Number EO-2016118-000083
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MY SISTERS ARMS
Organization’s Mailing Address PO BOX 185
City FARMINGTON
State MI
ZIP 48332-0185
Accounting period End 12
Primary contact name SHAWNA L ADAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHAWNA ADAMS
PRESIDENT/FOUNDER
14103 WHITCOMB ST
DETROIT MI 48227-2126

Officer/Director/Trustee Two

LINDSAY ELLIS
VICE-PRESIDENT
4935 KATHERINE ST
DEARBORN HEIGHTS MI 48125-2621

Officer/Director/Trustee Three

TONI O KULICH
SECRETARY
28658 PARDO ST APT 3
GARDEN CITY MI 48135-2864

Officer/Director/Trustee Four

VIVIAN HARDY
TREASURER
9000 E JEFFERSON APT 27-14
DETROIT MI 48214

Organization’s website WWW.MYSISTERSARMS.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/4/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P43 - Family Violence Shelters, Services
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 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
Signature Title
Signature Date

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