FORM 1023-EZ for COMBINED SUCCESS

Field Data
EIN 85-3666287
Case Number EO-2021089-001396
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMBINED SUCCESS
Organization’s Mailing Address PO BOX 401354
City REDFORD
State MI
ZIP 48240
Accounting period End 12
Primary contact name BENITA TYLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

IDA COLQUITT
DIRECTOR
18620 W 10 MILE
SOUTHFIELD MI 48075

Officer/Director/Trustee Two

TANYA WADE
SECRETARY
18620 W 10 MILE
SOUTHFIELD MI 48075

Officer/Director/Trustee Three

BERNARD WHITE
TRUSTEE
18620 W 10 MILE
SOUTHFIELD MI 48075

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/22/2020
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 Yes
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 IDA COLQUITT
Signature Title DIRECTOR
Signature Date 2/15/2021

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