FORM 1023-EZ for EMPOWERED LIVING HUMAN SERVICES

Field Data
EIN 38-2752785
Case Number EO-2020171-000059
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EMPOWERED LIVING HUMAN SERVICES
Organization’s Mailing Address 21246 WESTVIEW AVE
City FERNDALE
State MI
ZIP 48220
Accounting period End 12
Primary contact name KENDALL LESURE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KENDALL LESURE
PRESIDENT
18100
DETROIT MI 48235

Officer/Director/Trustee Two

BRITTANY WHITE
TREASURY
18100 MEYERS AVE
DETROIT MI 48220

Officer/Director/Trustee Three

ERIC PATE
MEMBER
18100 MEYERS AVE
DETROIT MI 48235

Officer/Director/Trustee Four

GALEN DUNCAN
MEMBER
18100 MEYERS
DETROIT MI 48235

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/29/1987
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P70 - Residential, Custodial Care
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name KENDALL LESURE
Signature Title PRESIDENT
Signature Date 6/17/2020

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