FORM 1023-EZ for PARENT CHILD ACHIEVEMENT FOUNDATION

Field Data
EIN 81-1451886
Case Number EO-2016049-000151
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PARENT CHILD ACHIEVEMENT FOUNDATION
Organization’s Mailing Address 743 VIRGINIA PARK
City D
State MI
ZIP 48202-2011
Accounting period End 12
Primary contact name WILLIAM MOSLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARILYN JORDAN
DIRECTOR
17300 SUNDERLAND
DETROIT MI 48219

Officer/Director/Trustee Two

TANYA CHE
DIRECTOR
5679 HILLCREST
DETROIT MI 48219

Officer/Director/Trustee Three

DAVID NATHAN
DIRECTOR
27300 ANN ARBOR TRAIL
DEARBORN HEIGHTS MI 48127

Officer/Director/Trustee Four

PAUL MITCHELL
CHARIMAN
32923 ROEBSON STREET
ST CLAIR SHORES MI 48082

Officer/Director/Trustee Five

TASHEENA GRAYSON
DIRECTOR
22472 WEST RD
TRENTON MI 48183

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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 No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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