FORM 1023-EZ for MJB LEGACY OUTEACH COMMUNITY DEVELOPMENT CORPORATION

Field Data
EIN 81-0934141
Case Number EO-2016312-000459
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MJB LEGACY OUTEACH COMMUNITY DEVELOPMENT CORPORATION
Organization’s Mailing Address 215 W TROY STREET
City FERNDALE
State MI
ZIP 48220
Accounting period End 12
Primary contact name SHANELL CLARK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANELL CLARK
EXECUTIVE DIRECTOR
215 W TROY STREET
FERNDALE MI 48220

Officer/Director/Trustee Two

CAROL SMOOT
BOARD CHAIR
18101 MARX
DETTROIT MI 48203

Officer/Director/Trustee Three

RICHARD BLACK
TREASURER
17560 SORRENTO
DETROIT MI 48235

Officer/Director/Trustee Four

BRENDA HURT
SECRETARY
13400 SCHAEFER
DETROIT MI 48314

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/10/2015
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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
Signature Title
Signature Date

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