FORM 1023-EZ for FATHERS ON A MISSION INC

Field Data
EIN 85-1493649
Case Number EO-2020174-000181
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FATHERS ON A MISSION INC
Organization’s Mailing Address 7328 SIMSBURY DRIVE
City WEST BLOOMFIELD
State MI
ZIP 48322
Accounting period End 12
Primary contact name GARY FENDERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARY FENDERSON
PRESIDENT
7328 SIMSBURY DRIVE
WEST BLOOMFIELD MI 48322

Officer/Director/Trustee Two

STEPHANIE JONES
SECRETARY
7328 SIMSBURY DRIVE
WEST BLOOMFIELD MI 48322

Officer/Director/Trustee Three

CHARLES JONES
TREASURER
7328 SIMSBURY DRIVE
WEST BLOOMFIELD MI 48322

Officer/Director/Trustee Four

MICHAEL E BARTELL SR
DIRECTOR
7328 SIMSBURY DRIVE
WEST BLOOMFIELD MI 48322

Officer/Director/Trustee Five

CLIFFORD A BROWN JR
DIRECTOR
7328 SIMSBURY DRIVE
WEST BLOOMFIELD MI 48322

Organization’s website
Organization’s email GARY.FENDERSON@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2020
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
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 GARY FENDERSON
Signature Title PRESIDENT
Signature Date 6/19/2020

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