FORM 1023-EZ for MILLER-CARR HUMAN SERVICES

Field Data
EIN 81-3083704
Case Number EO-2016187-000101
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MILLER-CARR HUMAN SERVICES
Organization’s Mailing Address 23185 MORNINGSIDE
City SOUTHFIELD
State MI
ZIP 48034
Accounting period End 12
Primary contact name DR CHANDRA MILLER-CARR PHD MSW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DR CHANDRA MILLER-CARR PHD MSW
CHAIRMAN OF THE BOARD
23185 MORNINGSIDE
SOUTHFIELD MI 48034

Officer/Director/Trustee Two

DONYETTA WHITE
PRESIDENT
24953 AUBURN LANE
SOUTHFIELD MI 48033

Officer/Director/Trustee Three

KHRISTI MILLER
VICE PRESIDENT
7785 GRANDMONT
DETROIT MI 48208

Officer/Director/Trustee Four

BRENDA MILLER
SECRETARY
360651 CASTLEMEADOW DR
FARMINGTON HILLS MI 48335

Officer/Director/Trustee Five

RACHELE RUSH
TREASURER
21018 NEGAUNEE
SOUTHFIELD MI 48033

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/17/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P90 -
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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