FORM 1023-EZ for MICHIGAN SPINA BIFIDA FAMILY

Field Data
EIN 82-5100474
Case Number EO-2018113-000559
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MICHIGAN SPINA BIFIDA FAMILY
Organization’s Mailing Address 4823 TURTLEWOOD CT
City COMMERCE TWP
State MI
ZIP 48382
Accounting period End 12
Primary contact name LISA AZZOU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA AZZOU
PRESIDENT
4823 TURTLEWOOD CT
COMMERCE TWP MI 48382

Officer/Director/Trustee Two

WILLIAM WILLIAMSON
VICE PRESIDENT
4269 MERRIMAN LOOP
HOWELL MI 48843

Officer/Director/Trustee Three

STACY DEFILLIPPO
SECRETARY
39023 HYLAND DR
STERLING HEIGHTS MI 48310

Officer/Director/Trustee Four

JOANNE BURKE
TREASURER
36242 24 MILE RD
NEW BALTIMORE MI 48047

Officer/Director/Trustee Five

SHERRIE GOBLE
COMMUNICATIONS DIRECTOR
3291 RICHMOND
LINCOLN PARK MI 48146

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/5/18
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W11 - Single Organization Support
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 Yes
Donation of funds Yes
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 LISA AZZOU
Signature Title PRESIDENT
Signature Date 4/20/18

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