FORM 1023-EZ for KEISHA Y BROWN ANGEL WINGS FUND

Field Data
EIN 46-3909972
Case Number EO-2017335-000175
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name KEISHA Y BROWN ANGEL WINGS FUND
Organization’s Mailing Address 915 S DEER RUN
City MOUNT PLEASANT
State MI
ZIP 48858
Accounting period End 12
Primary contact name DAMON BROWN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAMON BROWN
EXECUTIVE DIRECTOR
915 S DEER RUN
MOUNT PLEASANT MI 48858

Officer/Director/Trustee Two

STAN SHINGLES
PRESIDENT
1575 SCULLY
MOUNT PLEASANT MI 48858

Officer/Director/Trustee Three

RENE SHINGLES
DIRECTOR
1575 SCULLY
MOUNT PLEASANT MI 48858

Officer/Director/Trustee Four

RANDY BALL
TREASURER
1001 E MAPLE
MOUNT PLEASANT MI 48858

Officer/Director/Trustee Five

JILL SIMONS
DIRECTOR
316 E ILLINOIS
MOUNT PLEASANT MI 48858

Organization’s website WWW.ANGELWINGSFUND.ORG
Organization’s email ANGELWINGSFUND@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/31/2014
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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