FORM 1023-EZ for RESHAPE DETROIT

Field Data
EIN 47-5548737
Case Number EO-2016034-000122
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name RESHAPE DETROIT
Organization’s Mailing Address 200 MT ELLIOTT ST
City DETROIT
State MI
ZIP 48207
Accounting period End 6
Primary contact name PIERRE VINSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PIERRE VINSON
BOARD CHAIR
1315 WAYBURN ST
GROSSE POINTE MI 48230

Officer/Director/Trustee Two

JANICE GATES
BOARD SECRETARY
24704 INDEPENDENCE DR APT 1105
FARMINGTON HILS MI 48335

Officer/Director/Trustee Three

KIMBERLY GLOVER
TREASURER
18323 CHEVAL DR
CLINTON TOWNSHIP MI 48038

Organization’s website WWW.RESHAPEDETROIT.ORG
Organization’s email PIERREV@RESHAPEDETROIT.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/26/2015
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E70 - Public Health Program (Includes General Health and Wellness Promotion Services)
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 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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