FORM 1023-EZ for UNITE TO FACE ADDICTION MICHIGAN

Field Data
EIN 81-2749927
Case Number EO-2017088-000207
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UNITE TO FACE ADDICTION MICHIGAN
Organization’s Mailing Address 2468 ALLEN RD
City ORTONVILLE
State MI
ZIP 48462
Accounting period End 12
Primary contact name SCOTT MASI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT MASI
PRESIDENT
2468 ALLEN RD
ORTONVILLE MI 48462

Officer/Director/Trustee Two

LORI PIOTRACZK
TREASURER
2468 ALLEN ROAD
ORTONVILLE MI 48462

Officer/Director/Trustee Three

JEANNIE RICHARDS
CHAIR PERSON
520 S WINDING DRIVE
WATERORD MI 48328

Officer/Director/Trustee Four

KATHY REDDINGTON
OFFICER
16907 CEDARBROOK
HASLETT MI 48840

Officer/Director/Trustee Five

COURTNEY BERRYMAN
OFFICER
4385 DEESIDE DRIVE
BRIGHTON MI 48116

Organization’s website WWW.UFAMICHIGAN.ORG
Organization’s email INFO@UFAMICHIGAN.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/20/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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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