FORM 1023-EZ for ANN ARBOR CLOTH DIAPER CLOSET

Field Data
EIN 83-4008500
Case Number EO-2019079-000550
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ANN ARBOR CLOTH DIAPER CLOSET
Organization’s Mailing Address 1431 S HIDDEN CREEK DR
City SALINE
State MI
ZIP 48176
Accounting period End 12
Primary contact name KRISTIN BERGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTIN BERGER
BOARD MEMBER
1431 S HIDDEN CREEK DR
SALINE MI 48176

Officer/Director/Trustee Two

WILLIAM BERGER
BOARD MEMBER
1431 S HIDDEN CREEK DR
SALINE MI 48176

Officer/Director/Trustee Three

ANA CHEONG
BOARD MEMBER
2647 DEXTER RD
ANN ARBOR MI 48103

Officer/Director/Trustee Four

TOMO IIKUBO
BOARD MEMBER
2647 DEXTER RD
ANN ARBOR MI 48103

Organization’s website HTTPS://WWW.FACEBOOK.COM/ANNARBORCDC/
Organization’s email ANNARBORCDC@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/19
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P40 - Family Services
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 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 KRISTIN BERGER
Signature Title BOARD MEMBER
Signature Date 3/18/19

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