FORM 1023-EZ for CLEAN AND SOBER SUPPORT
| Field | Data |
|---|---|
| EIN | 81-2478847 |
| Case Number | EO-2016202-000293 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | CLEAN AND SOBER SUPPORT |
| Organization’s Mailing Address | 1427 EDGEKNOLL DR SE |
| City | GRAND RAPIDS |
| State | MI |
| ZIP | 49508 |
| Accounting period End | 12 |
| Primary contact name | KEOSHIA BANKS |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MARVIN HAMILTON
PRESIDENT
1427 EDGEKNOLL DR
GRAND RAPIDS MI 49508
Officer/Director/Trustee Two
KEOSHIA BANKS
VICE PRESIDENT
1427 EDGEKNOLL DR
GRAND RAPIDS MI 49508
Officer/Director/Trustee Three
CLYDE SIMS
SECRETARY
574 JEFFERSON
GRAND RAPIDS MI 49503
Officer/Director/Trustee Four
CAVEN HUNT
TREASURER
2872 TAFT AVE APT 4
WYOMING MI 49519
| Organization’s website | HTTP://CLEANANDSOBERSUPPORT.WIX.COM/CASS |
|---|---|
| Organization’s email | CLEANANDSOBER.GR@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/5/2016 |
| Organization Incorporation State | MI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E70 - Public Health Program (Includes General Health and Wellness Promotion Services) |
| 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 | Yes |
| 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 | |
| Signature Title | |
| Signature Date |
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