FORM 1023-EZ for PRISONER ABANDONED UNLOVED & LONELY

Field Data
EIN 84-3364219
Case Number EO-2020132-000107
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PRISONER ABANDONED UNLOVED & LONELY
Organization’s Mailing Address 245 CAMEBACK DRIVE
City HOLLAND
State MI
ZIP 49423
Accounting period End 12
Primary contact name ANA CABRERA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANA CABRERA
PRESIDENT/TREASURER
245 CAMELBACK DRIVE
HOLLAND MI 49423

Officer/Director/Trustee Two

SHANNON MACKAY
VICE PRESIDENT
13841 WESTWOOD LAND APT5
HOLLAND MI 49424

Officer/Director/Trustee Three

DALE TERPSTRA DO
SECRETARY
6690 FOREST BEACH DR
HOLLAND MI 49423

Officer/Director/Trustee Four

ARTURO DELEON
MEMBER-AT-LARGE
639 WEST 21ST ST
HOLLAND MI 49423

Officer/Director/Trustee Five

PENELOPE BROWN
MEMBER-AT-LARGE
13621 BARRY ST
HOLLAND MI 49424

Organization’s website
Organization’s email PAULSGROUP595@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2019
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I43 - Services to Prisoners and Families - Multipurpose
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 ANA CABRERA
Signature Title PRESIDENT/TREASURER
Signature Date 5/7/2020

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