FORM 1023-EZ for PROUDLY ASSISTING THE SENIORS - PATS

Field Data
EIN 82-5091581
Case Number EO-2018130-000459
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PROUDLY ASSISTING THE SENIORS - PATS
Organization’s Mailing Address 20544 STAHELIN AVENUE
City DETROIT
State MI
ZIP 48219
Accounting period End 12
Primary contact name BETTY HALLIBURTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TAMARA HALLIBURTON
PRESIDENT
15930 GLASTONBURY
DETROIT MI 48223

Officer/Director/Trustee Two

KENA HALLIBURTON
TREASURER
480 WEST BENNETT
FERNDALE MI 48220

Officer/Director/Trustee Three

JUANITA BRINKLEY-DAVIS
SECRETARY
16551 FERGUSON
DETROIT MI 48235

Officer/Director/Trustee Four

BETTY HALLIBURTON
FOUNDER/CEO
20544 STAHELIN AVENUE
DETROIT MI 48219

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/15/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 BETTY HALLIBURTON
Signature Title FOUNDER/CEO
Signature Date 5/8/18

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