FORM 1023-EZ for TALL TREE FREE CLINIC

Field Data
EIN 86-3466559
Case Number EO-2021146-000294
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name TALL TREE FREE CLINIC
Organization’s Mailing Address 22439 DOREMUS ST
City ST CLAIR SHORES
State MI
ZIP 48080
Accounting period End 12
Primary contact name SAKENAH HAMDI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MOHAMAD HAMDI
DIRECTOR
22
ST CLAIR SHORES MI 48080

Officer/Director/Trustee Two

SAKENAH HAMDI
TREASURER
1037 OLYMPIA DR
ROCHESTER HILLS MI 48306

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/23/2020
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E30 - Health Treatment Facilities, Primarily Outpatient
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 Yes
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 No
Correctness Declaration Yes
Signature Name SAKENAH HAMDI
Signature Title TREASURER
Signature Date 5/24/2021

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