FORM 1023-EZ for EMMANUEL HOUSE 12

Field Data
EIN 80-0176385
Case Number EO-2017279-000321
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name EMMANUEL HOUSE 12
Organization’s Mailing Address 18425 HICKORY
City DETROIT
State MI
ZIP 48205
Accounting period End 10
Primary contact name BLANCHE FOSTER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BLANCHE FOSTER
EXECUTIVE DIRECTOR
1107 STONE SPRING WAY
LOUISVILLE KY 40242

Officer/Director/Trustee Two

QUINDERETTE CONLEY
COO
45508 BUEGANDY
MACOMB MI 48055

Officer/Director/Trustee Three

QUAN EDGAR
PRESIDENT
23079 KRISTY LANE
SOUTHFIELD MI 48033

Officer/Director/Trustee Four

BERNITA BRADLEY
SECRETARY
18425 HICKORY
DETROIT MI 48205

Organization’s website WWW.EMMANUELHOUSE1.COM
Organization’s email EMMANUELHOUSE1@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/15/2009
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L99 - Housing, Shelter N.E.C.
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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