FORM 1023-EZ for FAMILY CAREGIVER SOLUTIONS ADULT DAY CARE

Field Data
EIN 81-1564888
Case Number EO-2016074-000171
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FAMILY CAREGIVER SOLUTIONS ADULT DAY CARE
Organization’s Mailing Address 2845 CAMBRIDGE
City DETROIT
State MI
ZIP 48221-1826
Accounting period End 12
Primary contact name EBONY FRANKLIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ROBIN GRIFFITH
PRESIDENT
17445 DENBY
REDFORD MI 48240

Officer/Director/Trustee Two

VALENCIA SMITH
VICE PRESIDENT
31653 FRASER DR
FRASER MI 48026

Officer/Director/Trustee Three

JEWEL MAYES
SECRETARY
11177 ROXBURY
DETROIT MI 48224

Officer/Director/Trustee Four

EBONY FRANKLIN
TREASURER
2845 CAMBRIDGE
DETROIT MI 48221

Organization’s website
Organization’s email FAMILYCAREGIVERSOLUTIONS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/18/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P81 - Senior Centers, Services
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
Signature Title
Signature Date

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