FORM 1023-EZ for PONTIAC MEALS ON WHEELS FOUNDATION

Field Data
EIN 83-1595183
Case Number EO-2018276-000283
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PONTIAC MEALS ON WHEELS FOUNDATION
Organization’s Mailing Address 248 S TELEGRAPH RD
City PONTIAC
State MI
ZIP 48341
Accounting period End 12
Primary contact name ROSA RANDOLPH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROSA RANDOLPH
EXECUTIVE DIRECTOR
1103 WILLIAMSON CIRCLE
PONTIAC MI 48340

Officer/Director/Trustee Two

JIM LANG
BOARD PRESIDENT
3360 ADAM SHORE LANE
WATERFORD MI 48329

Officer/Director/Trustee Three

DR CALVIN CUPIDORE
BOARD TREASURER
30888 ROSEMOND LANE
FRANKLIN MI 48025

Officer/Director/Trustee Four

ROSEMARY COUSER
BOARD SECRETARY
48 STRATFORD LANE
ROCHESTHER HILLS MI 48309

Officer/Director/Trustee Five

JANIS ROGERS
BOARD MEMBER
9095 S SAGINAW RD APT 20
GRAND BLANC MI 48439

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/16/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P01 - Alliance/Advocacy Organizations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 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 ROSA RANDOLPH
Signature Title EXECUTIVE DIRECTOR
Signature Date 10/1/18

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