FORM 1023-EZ for OSCAR MIKE AGENCY INC

Field Data
EIN 47-5644567
Case Number EO-2015328-000103
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OSCAR MIKE AGENCY INC
Organization’s Mailing Address 31790 YORK ST
City FRASER
State MI
ZIP 48026-2645
Accounting period End 12
Primary contact name ASH RICHIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ASH RICHIE
EXECUTIVE DIRECTOR
2243 NORFOLK DR APT 205
ROCHESTER HILLS MI 48309-3189

Officer/Director/Trustee Two

PATRICK MORIN
BOARD PRESIDENT
560 RIVENOAK STREET
BIRMINGHAM MI 48009-5730

Officer/Director/Trustee Three

DANIEL RUSSELL SR
BOARD VICE-PRESIDENT
6176 FOX FIRE
CLARKSTON MI 48346-7658

Officer/Director/Trustee Four

KATHLEEN MOCO
BOARD TREASURER
31790 YORK ST
FRASER MI 48026-2645

Officer/Director/Trustee Five

SHELBY GARDINER
BOARD SECRETARY
28210 LARCHMONT
ST CLAIR SHORES MI 48081-1453

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/20/2015
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P99 - Human Services - Multipurpose and Other 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 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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