FORM 1023-EZ for LAKE PISHON EMPOWERMENT MINISTRIES

Field Data
EIN 84-4972701
Case Number EO-2020066-000334
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LAKE PISHON EMPOWERMENT MINISTRIES
Organization’s Mailing Address 4774 PEARL STREET
City YPSILANTI
State MI
ZIP 48197
Accounting period End 12
Primary contact name KIMBERLY VANTREES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIMBERLY VANTREES
PRESIDENT
4774 PEARL STREET
YPSILANTI MI 48197

Officer/Director/Trustee Two

LINDA LITTLE
VICE PRESIDENT
3572 PHEASANT RUN CIRCLE APT A2
ANN ARBOR MI 48108

Officer/Director/Trustee Three

BRENDA KLEIN
SECRETARY
1726 MILLBROOK RD
CANTON MI 48188

Officer/Director/Trustee Four

VERONICA DARIN
TREASURER
45275 THORNHILL RD
CANTON MI 48188

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/4/2020
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 Yes
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 Yes
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 No
Correctness Declaration Yes
Signature Name KIMBERLY VANTREES
Signature Title PRESIDENT
Signature Date 3/4/2020

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