FORM 1023-EZ for SKILLS 4 LIFE FOUNDATION

Field Data
EIN 81-1191484
Case Number EO-2016029-000305
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SKILLS 4 LIFE FOUNDATION
Organization’s Mailing Address 5958 ORCHARD WOODS DR
City WEST BLOOMFIELD
State MI
ZIP 48324
Accounting period End 12
Primary contact name MARY Y EVANS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARY EVANS
EXECUTIVE DIRECTOR
5958 ORCHARD WOODS DR
WEST BLOOMFIELD MI 48324

Officer/Director/Trustee Two

ODELL TATE
BOARD PRESIDENT
3420 AUDUBON
DETROIT MI 48224

Officer/Director/Trustee Three

RICHARD ANDERSON
BOARD TREASURER
32401 EIGHT MILE RD
LIVONIA MI 48240

Officer/Director/Trustee Four

LISA MENDLESON
BOARD SECRETARY
5565 MIDDLEBELT RD
WEST BLOOMFIELD MI 48232

Officer/Director/Trustee Five

ROSEMARY COUSER
BOARD MEMBER
48 STRATFORD LANE
ROCHESTER HILLS MI 48309

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/22/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code J22 - Vocational Training
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 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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