FORM 1023-EZ for VAUGHN RESPITE

Field Data
EIN 45-5455692
Case Number EO-2016053-000267
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name VAUGHN RESPITE
Organization’s Mailing Address 3282 WEBB
City DETROIT
State MI
ZIP 48206
Accounting period End 12
Primary contact name CATRINA VAUGHN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CATRINA VAUGHN
EXECUTIVE DIRECTOR
2124 LAKEVIEW 189
YPSILANTI MI 48198

Officer/Director/Trustee Two

BRIAN JEWELL
OFFICER
3282 WEBB
DETROIT MI 48206

Officer/Director/Trustee Three

BIANCA MYERS
TRUSTEE
18073 HAMBURG
DETROIT MI 48205

Officer/Director/Trustee Four

JACKIE FORD
TRUSTEE
29443 NORTH MEADOW RIDGE
FARMINGTON HILLS MI 48334

Organization’s website VAUGHNRESPITE.WIX.COM/DETROITVETERANSHOME
Organization’s email VAUGHNRESPITE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/5/2014
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L40 - Low-Cost Temporary Housing
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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