FORM 1023-EZ for ANDREWS PLACE INC

Field Data
EIN 86-3247585
Case Number EO-2021109-000603
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANDREWS PLACE INC
Organization’s Mailing Address 46027 GREENRIDGE DR
City NORTHVILLE
State MI
ZIP 48167
Accounting period End 12
Primary contact name PATRICK ROMZEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PATRICK J ROMZEK
OFFICER
46027 GREENRIDGE DRIVE
NORTHVILLE MI 48167

Officer/Director/Trustee Two

MARILYN A ROMZEK
OFFICER
46027 GREENRIDGE DRIVE
NORTHVILLE MI 48167

Officer/Director/Trustee Three

ERIK P ROMZEK
OFFICER
41801 LADYWOOD DR
NORTHVILLE MI 48168

Officer/Director/Trustee Four

BRITNI ROMZEK
OFFICER
41801 LADYWOOD DR
NORTHVILLE MI 48168

Officer/Director/Trustee Five

ANDREW J ROMZEK
OFFICER
46027 GREENRIDGE DR
NORTHVILLE MI 48167

Organization’s website www.andrewsplace.org
Organization’s email promzek@andrewsplace.org
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/12/2021
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth 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 Yes
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 PATRICK J ROMZEK
Signature Title OFFICER
Signature Date 4/16/2021

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