FORM 1023-EZ for ANGEL ACRES ANIMAL HAVEN

Field Data
EIN 47-2081601
Case Number EO-2016138-000195
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANGEL ACRES ANIMAL HAVEN
Organization’s Mailing Address 6735 MCDONALD RD
City OLIVET
State MI
ZIP 49076
Accounting period End 12
Primary contact name PATRICIA D GIFFEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PATRICIA D GIFFEN
OFFICER
6735 MCDONALD RD
OLIVET MI 49076

Officer/Director/Trustee Two

ALYSSA THURMAN
VICE PRESIDENT
7245 SHERWOOD HWY
BELLEVUE MI 49021

Officer/Director/Trustee Three

MISTY CARPENTER
TREASURER
7027 MCDONALD RD
OLIVET MI 49076

Officer/Director/Trustee Four

JAN CAMP
SECRETARY
21673 21 MILE RD
MARSHALL MI 49068

Officer/Director/Trustee Five

SHERRY BOYD
CHAIR
P O BOX 60
OLIVET MI 49076

Organization’s website WWW.FACEBOOK/ANGELACRESANIMALHAVEN
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/27/2015
Organization Incorporation State MI
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: No
Religious: No
Educational: No
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 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
Signature Title
Signature Date

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