FORM 1023-EZ for UMBRELLEX

Field Data
EIN 85-2943067
Case Number EO-2020258-000734
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UMBRELLEX
Organization’s Mailing Address 13854 LAKESIDE CIR STE 255
City STERLING HTS
State MI
ZIP 48313
Accounting period End 12
Primary contact name ROBERT WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BIANCA WILSON
PRESIDENT
13854 LAKESIDE CIR STE 255
STERLING HTS MI 48313

Officer/Director/Trustee Two

DAMON DANIELS
TREASURER
13854 LAKESIDE CIR STE 255
STERLING HTS MI 48313

Officer/Director/Trustee Three

ROBERT WILSON
SECRETARY
13854 LAKESIDE CIR STE 255
STERLING HTS MI 48313

Officer/Director/Trustee Four

DENISE WILSON
DIRECTOR
13854 LAKESIDE CIR STE 255
STERLING HTS MI 48313

Officer/Director/Trustee Five

RAYMOND MOSS
DIRECTOR
13854 LAKESIDE CIR STE 255
STERLING HTS MI 48313

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/2020
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F80 - Mental Health Association, 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 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 ROBERT WILSON
Signature Title SECRETARY
Signature Date 9/12/2020

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