FORM 1023-EZ for SJMO EMERGENCY MEDICINE RESIDENCY
| Field | Data |
|---|---|
| EIN | 82-1161123 |
| Case Number | EO-2019316-000471 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SJMO EMERGENCY MEDICINE RESIDENCY |
| Organization’s Mailing Address | 27351 DEQUINDRE ROAD |
| City | MADISON HEIGHTS |
| State | MI |
| ZIP | 48071 |
| Accounting period End | 6 |
| Primary contact name | KATHERINE PITUS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
ANTONIO BONFIGLIO
PRESIDENT/CHAIRMAN
902 SHADY HOLLOW CIRCLE
BLOOMFIELD HILLS MI 48304
Officer/Director/Trustee Two
KATHERINE PITUS
TREASURER/DIRECTOR
7257 SIMSBURY DRIVE
WEST BLOOMFIELD MI 48322
Officer/Director/Trustee Three
DUANE CORSI
DIRECTOR
1772 SEYMOUR LAKE ROAD
OXFORD MI 48371
Officer/Director/Trustee Four
MICHAEL FELD
DIRECTOR
1816 LONE PINE ROAD
BLOOMFIELD HILLS MI 48302
Officer/Director/Trustee Five
KIMBERLY HELLER
DIRECTOR
561 YORKTOWN LANE
BLOOMFIELD TOWNSHIP MI 48304
| Organization’s website | SJMOEMRESIDENCY.COM |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/21/17 |
| Organization Incorporation State | MI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B02 - Management & Technical Assistance |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes Scientific: Yes 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 | No |
| Correctness Declaration | Yes |
| Signature Name | KATHERINE PITUS |
| Signature Title | TREASURER/DIRECTOR |
| Signature Date | 11/9/19 |
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