FORM 1023-EZ for HELPING INDIVIDUALS SUCCEED AGENCY

Field Data
EIN 80-0323294
Case Number EO-2016155-000327
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HELPING INDIVIDUALS SUCCEED AGENCY
Organization’s Mailing Address 19960 GREYDALE
City DETROIT
State MI
ZIP 48219
Accounting period End 12
Primary contact name DERSCHAUN SHARPLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NEAL WILLIAMS
OFFICER
18050 FAIRFIELD
DETROIT MI 48221

Officer/Director/Trustee Two

BENITA TYLER
OFFICER
15100 GLASTONBURY
DETROIT MI 48223

Officer/Director/Trustee Three

SAMUEL DONAHUE
OFFICER
23935 TRAILWOOD CT
BINGHAM FARMS MI 48025

Officer/Director/Trustee Four

DERSCHAUN SHARPLEY
DIRECTOR
928 N ADAMS RD 1
BIRMINGHAM MI 48009

Organization’s website WWW.HISAGENCY.ORG
Organization’s email INFO@HISAGENCY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/25/2007
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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