FORM 1023-EZ for SAMARITAN WAY OF MICHIGAN

Field Data
EIN 38-3885383
Case Number EO-2019365-000135
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SAMARITAN WAY OF MICHIGAN
Organization’s Mailing Address 22717 S BELLWOOD DR
City SOUTHFIELD
State MI
ZIP 48034-6234
Accounting period End 12
Primary contact name WILLIAM D PHILLIPS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM PHILLIPS
EXECUTIVE DIRECTOR
22717 S BELLWOOD DR
SOUTHFIELD MI 48034-6234

Officer/Director/Trustee Two

DONALD PHILLIPS
VICE PRESIDENT
902 LOCUST LANE
ALBION MI 49224

Officer/Director/Trustee Three

CHERYL PHILLIPS
SECRETARY
22717 S BELLWOOD DR
SOUTHFIELD MI 48034-6234

Officer/Director/Trustee Four

DAVID PHILLIPS
TREASURER
25235 ORCHARD LAKE RD
FARMINGTON HILLS MI 48336

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/2012
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
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 Yes
Donation of funds Yes
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 WILLIAM PHILLIPS
Signature Title EXECUTIVE DIRECTOR
Signature Date 12/29/2019

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