FORM 1023-EZ for ANCHOR BAY FOSTER CLOSET

Field Data
EIN 86-6475138
Case Number EO-2021095-000657
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANCHOR BAY FOSTER CLOSET
Organization’s Mailing Address 35531 23 MILE ROAD
City NEW BALTIMORE
State MI
ZIP 48047
Accounting period End 12
Primary contact name JAIME PAYETTE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAIME PAYETTE
PRESIDENT
51912 SCHNOOR ST
NEW BALTIMORE MI 48047

Officer/Director/Trustee Two

COURTNEY ADAMKIEWICZ
TREASURER
23133 EUCLID
SAINT CLAIR SHORES MI 48082

Officer/Director/Trustee Three

ANGELINA PAYETTE
SECRETARY
2034 JOHN R UNIT 7
TROY MI 48083

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/12/2020
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family 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 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 JAIME PAYETTE
Signature Title PRESIDENT
Signature Date 3/4/2021

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