FORM 1023-EZ for METRO DREAM TEENS FOUNDATION

Field Data
EIN 81-0801183
Case Number EO-2016036-000156
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name METRO DREAM TEENS FOUNDATION
Organization’s Mailing Address 30535 W 14 MILE RD APT 2
City FARMINGTON HILLS
State MI
ZIP 48334
Accounting period End 12
Primary contact name DORIAN COSTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DORIAN COSTON
EXECUTIVE DIRECTOR
30535 WEST 14MILE ROAD UNIT 2
FARMINGTON HILLS MI 48334

Officer/Director/Trustee Two

NICOLE BROWN
BOARD PRESIDENT
28672 BLACKSTONE
LATHRUP VILLAGE MI 48076

Officer/Director/Trustee Three

THERESA MARSHALL
BOARD TREASURER
24794 GREENBRIER AVENUE
EASTPOINTE MI 48021

Officer/Director/Trustee Four

LAMONT SMITH
BOARD SECRETARY
20000 TRACEY
DETROIT MI 48235

Officer/Director/Trustee Five

DELORES FLOWERS
BOARD MEMBER
19557 FARMINGTON ROAD
LIVONIA MI 48152

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/23/2015
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O01 - Alliance/Advocacy Organizations
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 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
Signature Title
Signature Date

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