FORM 1023-EZ for THE ASHLI D HILL LIFE CENTER

Field Data
EIN 84-3466869
Case Number EO-2020015-000216
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE ASHLI D HILL LIFE CENTER
Organization’s Mailing Address 3407 W HOME AVE
City FLINT
State MI
ZIP 48504
Accounting period End 12
Primary contact name ROGER HILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROGER HILL
PRESIDENT
3407 W HOME AVE
FLINT MI 48504-1462

Officer/Director/Trustee Two

PHYLLIS HILL
TREASURER
6206 DETROIT ST
MT. MORRIS MI 48458-2736

Officer/Director/Trustee Three

KOURTNEY BRODEN
SECRETARY
2115 SW 13TH ST
GAINESVILLE FL 32608-1534

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/8/2019
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROGER HILL
Signature Title PRESIDENT
Signature Date 1/13/2020

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