FORM 1023-EZ for COOLEY CARER NON PROFIT

Field Data
EIN 83-2822707
Case Number EO-2019087-000405
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COOLEY CARER NON PROFIT
Organization’s Mailing Address 7895 TURNEY AVENUE
City MONROE
State MI
ZIP 48161
Accounting period End 12
Primary contact name DAVID COOLEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID COOLEY
PRESIDENT
7895 TURNEY AVE
MONROE MI 48161

Officer/Director/Trustee Two

WAYNE FREEMAN
TREASURER
6838 YORKTOWN PLACE
TEMEPERNCE MI 48182

Officer/Director/Trustee Three

DAN MARTIN
SECERTARY
4926 CONSEAR RD
OTTAWA LAKE MI 49267

Officer/Director/Trustee Four

LEON BARTLEY
VICE PRESIDENT
2397 STEWERT RD
MONROE MI 48162

Organization’s website COOLEYCARE.COM
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/20/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
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 Yes
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAVID COOLEY
Signature Title PRESIDENT
Signature Date 3/26/19

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