FORM 1023-EZ for LOVE CREEK SANTUARY

Field Data
EIN 81-3783808
Case Number EO-2016260-000226
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LOVE CREEK SANTUARY
Organization’s Mailing Address 14652 WOLF RD
City GRASS VALLEY
State CA
ZIP 95949
Accounting period End 12
Primary contact name SHANNA LESLIE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHANNA LESLIE
PRESIDENT
14652 WOLF RD
GRASS VALLEY CA 95949

Officer/Director/Trustee Two

GARTH BROOKS
EXECUTIVE DIRECTOR/CHAIRPERSON
14652 WOLF RD
GRASS VALLEY CA 95949

Officer/Director/Trustee Three

ALLISON HARVEY
TRUSTEE/TREASURER
470 NEVADA ST SUITE 203
AUBURN CA 95603

Officer/Director/Trustee Four

SUSAN PIERSON
TRUSTEE/SECRETARY
450 GERALDSON RD
NEWCASTLE CA 95658

Officer/Director/Trustee Five

SPENCER AGINS
TRUSTEE
100 HARRISON AVE 433
AUBURN CA 95604

Organization’s website WWW.LOVECREEKSANTUARY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/5/2016
Organization Incorporation State CA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
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 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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