FORM 1023-EZ for ABSTINENCE PREVENTION AGENCY

Field Data
EIN 38-3147042
Case Number EO-2017184-000311
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ABSTINENCE PREVENTION AGENCY
Organization’s Mailing Address 15727 PLYMOUTH RD
City DETROIT
State MI
ZIP 48227
Accounting period End 12
Primary contact name DONALD FERGUSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLYDE JONES
PRESIDENT
20247 REDFERN
DETROIT MI 48214

Officer/Director/Trustee Two

WILLARD FUNCHES
TREASURER
19334 ST MARYS
DETROIT MI 48235

Officer/Director/Trustee Three

NORMA BAILEY
SECRETARY
17021 PENSYLVANIA
SOUTHFIELD MI 48075

Officer/Director/Trustee Four

DEJUAN BLAND
DIRECTOR
21709 AUDREY
DEARBORN MI 48124

Officer/Director/Trustee Five

DONALD FERGUSON
AUTHORIZED AGENT
1432 OAKMONT CT
LAKE ORION MI 48362

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/1992
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code R01 - Alliance/Advocacy Organizations
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 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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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