FORM 1023-EZ for COMMUNITY SUPPORT CAMPAIGN

Field Data
EIN 82-1985452
Case Number EO-2017195-000212
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name COMMUNITY SUPPORT CAMPAIGN
Organization’s Mailing Address 3488 BROOKLYN DR
City CANTON
State MI
ZIP 48188-8208
Accounting period End 12
Primary contact name TIM PUGH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMOTHY PUGH
PRESIDENT
3488 BROOKLYN DR
CANTON MI 48188-8208

Officer/Director/Trustee Two

SAMUEL SIMKINS
TREASURER
606 LAWRENCE ST
DETROIT MI 48202-1017

Officer/Director/Trustee Three

DANIEL MONROE
SECRETARY
1431 WASHINGTON BLVD APT 715
DETROIT MI 48226-1720

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/5/2017
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
Literary: Yes
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
Signature Title
Signature Date

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