FORM 1023-EZ for GREATER DETROIT ASSOCIATION OF EMERGENCY MEDICINE

Field Data
EIN 84-3205434
Case Number EO-2020021-000717
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GREATER DETROIT ASSOCIATION OF EMERGENCY MEDICINE
Organization’s Mailing Address 12 LAKE COURT
City GROSSE POINTE PARK
State MI
ZIP 48230
Accounting period End 12
Primary contact name MICHELLE WIENER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHELLE WIENER
PRESIDENT OF THE BOARD
12 LAKE COURT
GROSSE POINTE PARK MI 48230

Officer/Director/Trustee Two

CHRISTOPHER LOEWE
ACTING TREASURE
26795 CAPTAINS LANE
FRANKLIN MI 48025

Officer/Director/Trustee Three

FADI DAOUK
CHAIR OF THE COUNCIL
3029 EAST RIDGE COURT
BLOOMFIELD HILLS MI 48302

Officer/Director/Trustee Four

SHAUN GRAY
VICE CHAIR OF THE COUNCIL
19268 LAKELAND DRIVE
MACOMB MI 48044

Officer/Director/Trustee Five

JOHN BAHLING
SECRETARY
36 RIDGE RD
PLEASANT RIDGE MI 48069

Organization’s website
Organization’s email MRSDRWIENER@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/26/2019
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E03 - Professional Societies, Associations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: Yes
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 MICHELLE WIENER
Signature Title PRESIDENT OF THE BOARD
Signature Date 1/19/2020

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