FORM 1023-EZ for CROSSBRIDGE TO RECOVERY

Field Data
EIN 82-4727320
Case Number EO-2018078-000328
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CROSSBRIDGE TO RECOVERY
Organization’s Mailing Address 20615 VINING
City NEW BOSTON
State MI
ZIP 48164
Accounting period End 12
Primary contact name JOHN E GRENKE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROSE CHAMBERS
PRESIDENT/DIRECTOR
20615 VINING
NEW BOSTON MI 48164

Officer/Director/Trustee Two

JENNY DOMINGUES
SECRETARY/DIRECTOR
12535 SPICER
CARLETON MI 48117

Officer/Director/Trustee Three

ANGEL KUSSY
DIRECTOR
22364 IRONGATE
WOODHAVEN MI 48183

Officer/Director/Trustee Four

MICHAEL CHAMBERS
TREASURER
20615 VINING
NEW BOSTON MI 48164

Organization’s website NONE
Organization’s email ROSE.CHAMBERS37@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/9/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other N.E.C.
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 ROSE CHAMBERS
Signature Title PRESIDENT/DIRECTOR
Signature Date 3/15/18

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