FORM 1023-EZ for JUST IN TIME CONSUMER HEALTH CARE CLAIMS BILLING SUPPORT ADVOCATES

Field Data
EIN 82-4722991
Case Number EO-2018106-000148
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JUST IN TIME CONSUMER HEALTH CARE CLAIMS BILLING SUPPORT ADVOCATES
Organization’s Mailing Address 24359 NORTHWESTERN HWY SUITE 150
City SOUTHFIELD
State MI
ZIP 48075
Accounting period End 12
Primary contact name SCOTT F ROBERTS - ATTORNEY AGENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHARLETTA COSLEY
DIRECTOR
9224 LUCERN
REDFORD MI 48239

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/6/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
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 CHARLETTA COSLEY
Signature Title DIRECTOR
Signature Date 4/6/18

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