FORM 1023-EZ for CLEAN DETROIT

Field Data
EIN 37-1904704
Case Number EO-2018317-000539
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLEAN DETROIT
Organization’s Mailing Address 32071 GLEN ST
City WESTLAND
State MI
ZIP 48186
Accounting period End 7
Primary contact name DEREK KOLASINSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID WILLIAMS
CHIEF OPERATING OFFICER
32071 GLEN ST
WESTLAND MI 48186

Officer/Director/Trustee Two

MICHAEL BIEGALSKI
CHIEF TECHNOLOGY OFFICER
30726 PIERCE ST
GARDEN CITY MI 48135

Officer/Director/Trustee Three

ANTHONY WALDROP
CHIEF OF MANUFACTORING
33416 JOHN HAUK
GARDEN CITY MI 48135

Officer/Director/Trustee Four

DEREK KOLASINSKI
CHIEF FINANCIAL OFFICER
6600 SHARON ST
GARDEN CITY MI 48135

Officer/Director/Trustee Five

KYLE OBRADY
SECRETARY
32071 GLEN ST
WESTLAND MI 48186

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/11/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C50 - Environmental Beautification and Aesthetics
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: Yes
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 MICHAEL BIEGALSKI
Signature Title CHIEF TECHNOLOGY OFFICER
Signature Date 11/11/18

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