FORM 1023-EZ for ADULT FOSTER CARE PROVIDERS OF GENESEE COUNTY

Field Data
EIN 38-2251353
Case Number EO-2018152-000164
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ADULT FOSTER CARE PROVIDERS OF GENESEE COUNTY
Organization’s Mailing Address P O BOX 360
City CLIO
State MI
ZIP 48420
Accounting period End 12
Primary contact name MONICA GLYNN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RHONDA ANAGNOSTOPOULOS
PRESIDENT
9412 MILLER RD
SWARTZ CREEK MI 48473

Officer/Director/Trustee Two

JESSICA MAHAN
V PRESIDENT
1417 W VIENNA RD
CLIO MI 48420

Officer/Director/Trustee Three

STACY BOHN
TREASURER
1525 E PIERSON
FLUSHING MI 48433

Officer/Director/Trustee Four

TINA OLSHOVE
SECURITY
5370 E BLADWIN
GRAND BLANC MI 48439

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/79
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name RHONDA ANAGNOSTOPOULOS
Signature Title PRESIDENT
Signature Date 5/30/18

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