FORM 1023-EZ for NOMAS TRANSITIONAL HOME

Field Data
EIN 82-5039898
Case Number EO-2018106-000219
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NOMAS TRANSITIONAL HOME
Organization’s Mailing Address 15435 LAKESIDE VILLAGE DRIVE 205
City CLINTON TOWNSHIP
State MI
ZIP 48038
Accounting period End 3
Primary contact name ERICA MARSHALL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERICA MARSHALL
CEO
15435 LAKESIDE VILLAGE DRIVE 205
CLINTON TOWNSHIP MI 48038

Officer/Director/Trustee Two

JOSHUA GREGORY
PROGRAM DIRECTOR
15435 LAKESIDE
CLINTON TOWNSHIP MI 48038

Officer/Director/Trustee Three

JAMES BARNES JR
BOARD CHAIR
15435 LAKESIDE
CLINTON TOWNSHIP MI 48038

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/22/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L02 - Management & Technical Assistance
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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ERICA MARSHALL
Signature Title CEO
Signature Date 4/6/18

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