FORM 1023-EZ for DOMITOR

Field Data
EIN 81-1429212
Case Number EO-2016244-000119
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DOMITOR
Organization’s Mailing Address 500 ROSEWOOD AVE
City EAST LANSING
State MI
ZIP 48823-3246
Accounting period End 12
Primary contact name JOSHUA YUMIBE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMI WILLIAMS
PRESIDENT
500 ROSEWOOD AVE
EAST LANSING MI 48823-3246

Officer/Director/Trustee Two

VITO ADRIAENSENS
TREASURER
500 ROSEWOOD AVE
EAST LANSING MI 48823-3246

Officer/Director/Trustee Three

VIVA PACI
SECRETARY
500 ROSEWOOD AVE
EAST LANSING MI 48823-3246

Officer/Director/Trustee Four

SARAH KELLER
SECRETARY
500 ROSEWOOD AVE
EAST LANSING MI 48823-3246

Officer/Director/Trustee Five

JOSHUA YUMIBE
VICE PRESIDENT
500 ROSEWOOD AVE
EAST LANSING MI 48823-3246

Organization’s website HTTP://WWW.DOMITOR.ORG/
Organization’s email DOMITORSECRETARY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/11/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
Literary: Yes
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 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
Signature Title
Signature Date

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