FORM 1023-EZ for PELLSTON EDUCATION FOUNDATION

Field Data
EIN 87-2043632
Case Number EO-2021228-000167
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PELLSTON EDUCATION FOUNDATION
Organization’s Mailing Address 172 PARK STREET
City PELLSTON
State MI
ZIP 49769
Accounting period End 12
Primary contact name DAVID A GEORGE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARLIN SMITH
PRESIDENT
356 BOYER ROAD
PETOSKEY MI 49770

Officer/Director/Trustee Two

MARK WAGENSCHUTZ
VICE PRESIDENT
20836 CATTAIL BLVD
VENICE FL 34292

Officer/Director/Trustee Three

SARAH GEORGE
SECRETARY
7691 LAKEVIEW ROAD
ALANSON MI 49706

Officer/Director/Trustee Four

GENNIE BRICKER
TREASURER
8454 E LEVERING ROAD
LEVERING MI 49755

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/2/2021
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T30 - Public Foundations
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 No
Donation of funds Yes
Conducting Activities Outside of United States No
Financial transactions with officers Yes
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SARAH GEORGE
Signature Title SECRETARY
Signature Date 8/12/2021

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