FORM 1023-EZ for REBIRTH CITY INC

Field Data
EIN 87-2258535
Case Number EO-2021237-000180
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name REBIRTH CITY INC
Organization’s Mailing Address 33002 WILLOW
City NEW HAVEN
State MI
ZIP 48048-2942
Accounting period End 12
Primary contact name WINETTA WILLIAMS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WINETTA WILLIAMS
DIRECTOR
33002 WILLOW
NEW HAVEN MI 48048-2942

Officer/Director/Trustee Two

KEENNA BELL
DIRECTOR
33002 WILLOW
NEW HAVEN MI 48048-2942

Officer/Director/Trustee Three

ANDREA SMITH
DIRECTOR
33002 WILLOW
NEW HAVEN MI 48048-2942

Officer/Director/Trustee Four

NICOLE STALLWORTH
DIRECTOR
33002 WILLOW
NEW HAVEN MI 48048-2942

Organization’s website
Organization’s email CHYILLLC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/16/2021
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: 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 Yes
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 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 WINETTA WILLIAMS
Signature Title DIRECTOR
Signature Date 8/23/2021

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