FORM 1023-EZ for HOSEA RE5 INC

Field Data
EIN 81-3693035
Case Number EO-2016256-000154
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HOSEA RE5 INC
Organization’s Mailing Address 12622 CEDAR VIEW LANE
City SOUTH LYON
State MI
ZIP 48178
Accounting period End 12
Primary contact name PENNY WEST
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AUGUSTINA FRAZIER
BOARD CHAIRPERSON
5444 BENTLEY RD APT 201
WEST BLOOMFIELD MI 48322

Officer/Director/Trustee Two

KAREN SOMMERVILLE
BOARD TREASURER
PO BOX 1667
ROYAL OAK MI 48073

Officer/Director/Trustee Three

RENEE WILSON
BOARD SECRETARY
508 ROE ST
PLYMOUTH MI 48170

Officer/Director/Trustee Four

PENNY WEST
CO FOUNDER EXECUTIVE DIRECTOR
12622 CEDAR VIEW LANE
SOUTH LYON MI 48178

Officer/Director/Trustee Five

MARY FOUTS
CO FOUNDER EXECUTIVE DIRECTOR
25339 ARDEN PARK DRIVE
FARMINGTON HILLS MI 48336

Organization’s website NA
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: Yes
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 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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