FORM 1023-EZ for GRACIES DOG HAVEN

Field Data
EIN 81-5312163
Case Number EO-2017100-000202
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GRACIES DOG HAVEN
Organization’s Mailing Address 2558 CADES COVE
City BRIGHTON
State MI
ZIP 48114
Accounting period End 2
Primary contact name SHEILA HALL-GABRIEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SHEILA HALL-GABRIEL
PRESIDENT CEO
2558 CADES COVE
BRIGHTON MI 48114

Officer/Director/Trustee Two

SUZANNE HEINZE-CLARK
PRESIDENT
1710 ACORN VALLEY DRIVE
HOWELL MI 48855

Officer/Director/Trustee Three

JEANNE FREESE
TREASURER
12260 MAPLE CREEK COURT
SOUTH LYON MI 48178

Officer/Director/Trustee Four

ELIZABETH JUAREZ
SECRETARY
5479 RIVER RIDGE DRIVE
BRIGHTON MI 48116

Officer/Director/Trustee Five

JACK YATES
OFFICER
2558 CADES COVE
BRIGHTON MI 48114

Organization’s website WWW.GRACIESDOGHAVEN.ORG
Organization’s email HAVENFORDOGS@HOTMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/10/2017
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D60 - Other Services - Specialty Animals
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 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 Yes
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
Signature Title
Signature Date

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