FORM 1023-EZ for OMPT SPECIALISTS FOUNDATION

Field Data
EIN 36-4947141
Case Number EO-2019252-000320
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OMPT SPECIALISTS FOUNDATION
Organization’s Mailing Address 1080 KIRTS BOULDEVARD STE 300
City TROY
State MI
ZIP 48084-4884
Accounting period End 12
Primary contact name ROBIN D FERRIBY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NIVINE FAHMY
DIRECTOR - PRESIDENT
15650 GROSVENOR LANE
MACOMB MI 48044

Officer/Director/Trustee Two

MICHAEL FAHMY
DIRECTOR - VICE PRESIDENT
15650 GROSVENOR LANE
MACOMB MI 48044

Officer/Director/Trustee Three

LORI BRAUER
DIRECTOR
19011 NORWICH ROAD
LIVONIA MI 48152

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/2/19
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth 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 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 NIVINE FAHMY
Signature Title DIRECTOR - PRESIDENT
Signature Date 9/6/19

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