FORM 1023-EZ for FORMING LEADERS AND VISIONARY ADULTS

Field Data
EIN 82-4110358
Case Number EO-2020106-000060
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FORMING LEADERS AND VISIONARY ADULTS
Organization’s Mailing Address 9160 YORKSHIRE RD
City DETROIT
State MI
ZIP 48224
Accounting period End 12
Primary contact name SHALAMAR GUERRANT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

VANIA MOORE
PRESIDENT
9160 YORKSHIRE
DETROIT MO 48224

Officer/Director/Trustee Two

ANGELA THOMAS
TREASURER
41431 BELLRIDGE BLVD - APT B416
BELLEVILLE MI 48111

Officer/Director/Trustee Three

IYISHA COLLINS
SECRETARY
15101 JOY RD APT 4
DETROIT MI 48228

Officer/Director/Trustee Four

BILAAL COLLINS
DIRECTOR
9160 YORKSHIRE
DETROIT MI 48224

Officer/Director/Trustee Five

ESHAUN CAINE
TRUSTEE
29495 WOODPARK CIRCLE
WARREN MI 48092

Organization’s website
Organization’s email FLAVAGIRLS@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/2019
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
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 VANIA MOORE
Signature Title PRESIDENT
Signature Date 4/13/2020

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