FORM 1023-EZ for PHOENIX HOUSE OF FARMINGTON HILLS INC

Field Data
EIN 83-4713388
Case Number EO-2021078-000745
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PHOENIX HOUSE OF FARMINGTON HILLS INC
Organization’s Mailing Address 25847 CHAPELWEIGH
City FARMINGTON HILLS
State MI
ZIP 48336
Accounting period End 12
Primary contact name CYNTHIA K PERSITZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CYNTHIA PERSITZ
DIRECTOR/TREASURER
25847 CHAPELWEIGH
FARMINGTON HILLS MI 48336

Officer/Director/Trustee Two

JEANNETTE SOMMER
DIRECTOR/SECRETARY
6179 MISSION DRIVE
WEST BLOOMFIELD MI 48336

Officer/Director/Trustee Three

FRANK STRUBLE
DIRECTOR/VICE PRESIDENT
31880 BELMONT
FARMINGTON HILLS MI 48324

Officer/Director/Trustee Four

NANCY STRUBLE
DIRECTOR/PRESIDENT
31880 BELMONT
FARMINGTON HILLS MI 48324

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/10/2019
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L40 - Low-Cost Temporary Housing
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 CYNTHIA PERSITZ
Signature Title DIRECTOR/TREASURER
Signature Date 1/21/2021

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