FORM 1023-EZ for COMMUNITY STROKE CONSULTANTS INC

Field Data
EIN 47-2518782
Case Number EO-2017191-000470
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMUNITY STROKE CONSULTANTS INC
Organization’s Mailing Address 16477 CONSTANCE AVENUE
City DETROIT
State MI
ZIP 48228
Accounting period End 12
Primary contact name DIRECTOR REGENA FLORENCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RODRICK GREEN
ATTORNEY TRUSTEE
65 CADILLAC SQUARE
DETROIT MI 48226

Officer/Director/Trustee Two

PORTIA MCINTOSH
MEDICAL NURSE TRUSTEE
210 ASTORWOOD
PONTIAC MI 48341

Officer/Director/Trustee Three

REGENA FLORENCE
DIRECTOR
16477 CONSTANCE AVEUE
DETROIT MI 48228

Officer/Director/Trustee Four

MICHAEL JOHNSON MD
PHYSICIAL TRUSTEE
218 CHAPIN STREET
ANN ARBOR MI 48104

Officer/Director/Trustee Five

GORDON DOOLEY
TRUSTEE-SECRETARY/TREASURER
16477 CONSTANCE AVENUE
DETROIT MI 48228

Organization’s website COMMUNITYSTROKECONSULTANTS.ORG
Organization’s email STROKE_CSC@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/23/2014
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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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