FORM 1023-EZ for PRISM PROJECT

Field Data
EIN 84-1888244
Case Number EO-2019226-000505
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PRISM PROJECT
Organization’s Mailing Address 11311 LINDEN RD
City LINDEN
State MI
ZIP 48451
Accounting period End 12
Primary contact name SYLVIA BLYTHE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SYLVIA BLYTHE
EXECUTIVE DIRECTOR
11311 LINDEN RD
LINDEN MI 48451

Officer/Director/Trustee Two

ALLISON HILLER
PRESIDENT
414 N TOWNE COMMONS BLVD
FENTON MI 48430

Officer/Director/Trustee Three

JIM PARKIN
VICE PRESIDENT
7551 CORAL DR
GRAND BLANC MI 48439

Officer/Director/Trustee Four

LAUREL WHITE
TREASURER
7211 WILSON RD
WEST PALM BEACH FL 33413

Officer/Director/Trustee Five

KELSEY CONNER
SECRETARY
336 BARRINGTON CIR
LANSING MI 48917

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/19
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 SYLVIA BLYTHE
Signature Title EXECUTIVE DIRECTOR
Signature Date 8/12/19

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