FORM 1023-EZ for PIERCED FOREVER FOUNDATION

Field Data
EIN 85-3657913
Case Number EO-2021049-000424
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PIERCED FOREVER FOUNDATION
Organization’s Mailing Address 30850 TELEGRAPH RD STE 250
City BINGHAM FARMS
State MI
ZIP 48025
Accounting period End 12
Primary contact name ADAM J DEVLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ADAM DEVLIN
DIRECTOR
748 E VALLEY CHASE RD
BLOOMFIELD HILLS MI 48304

Officer/Director/Trustee Two

MIKE ILLITCH
DIRECTOR
779 W SOUTHLAWN BLVD
BIRMINGHAM MI 48009

Officer/Director/Trustee Three

BRANDON MOVITZ
DIRECTOR
3635 ROLAND DR
BLOOMFIELD HILLS MI 48301

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/27/2020
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T22 - Private Independent Foundations
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ADAM DEVLIN
Signature Title DIRECTOR
Signature Date 12/10/2020

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