FORM 1023-EZ for GREEN GROVE COMMUNITY OUTREACH

Field Data
EIN 47-1379233
Case Number EO-2018262-000279
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GREEN GROVE COMMUNITY OUTREACH
Organization’s Mailing Address 2501 E MCNICHOLS
City DETROIT
State MI
ZIP 48212-1
Accounting period End 12
Primary contact name ANTONIO PITTS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANTONIO PITTS
PRESIDENT
43236 KATIE LANE
CLINTON TOWNSHIP MI 43236

Officer/Director/Trustee Two

EDDIE CHAMBLISS
VICE PRESIDENT
18882 KEYSTONE
DETROIT MI 48234

Officer/Director/Trustee Three

SHERYLL STANLEY
TREASURER
16574 FENMORE
DETROIT MI 48235

Officer/Director/Trustee Four

RHEA WILLIAMS
SECRETARY
19952 FENELON
DETROIT MI 48234

Officer/Director/Trustee Five

CONSTANCE RODGERS
DIRECTOR
19725 SAINT MARYS
DETROIT MI 48235

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/26/14
Organization Incorporation State AE
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Y01 - Alliance/Advocacy Organizations
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 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 ANTONIO PITTS
Signature Title PRESIDENT
Signature Date 9/17/18

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