FORM 1023-EZ for SE MICHIGAN LONG TERM RECOVERY ORGANIZATION

Field Data
EIN 47-2149005
Case Number EO-2014323-000365
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SE MICHIGAN LONG TERM RECOVERY ORGANIZATION
Organization’s Mailing Address 100 MACK AVE DIASTER SVCS 3RD FL
City DETROIT
State MI
ZIP 48244-0110
Accounting period End 12
Primary contact name MARY LLOYD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MARY LLOYD
CHAIRMAN
17575 HUBELL
DETROIT MI 48235

Officer/Director/Trustee Two

VINCENT TILFORD
VICE CHAIRMAN
14325 JANE ST
DETROIT MI 48205

Officer/Director/Trustee Three

PHILIP SIMPSON
TREASURER
155 ROMEO RD SUITE 200
ROCHESTER MI 48307

Officer/Director/Trustee Four

BARBARA WILLIS
SECRETARY
150 STIMSON ST
DETROIT MI 48201

Officer/Director/Trustee Five

PAUL ZBYTOWSKI
MEMBER
3000 GRATIOT AVE
DETROIT MI 48207

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/23/2014
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M99 - Public Safety, Disaster Preparedness, and Relief N.E.C.
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 Yes
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
Signature Title
Signature Date

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