FORM 1023-EZ for COON CREEK FARM GIVING TREE

Field Data
EIN 30-1255059
Case Number EO-2021099-000626
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COON CREEK FARM GIVING TREE
Organization’s Mailing Address 22000 32 MILE ROAD
City RAY
State MI
ZIP 48096
Accounting period End 12
Primary contact name STEPHEN ANDERSON II
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

STEPHEN ANDERSON
DIRECTOR
22000 32 MILE ROAD
RAY MI 48096

Officer/Director/Trustee Two

MARK GREEN
OFFICOR
35885 MONRO
RICHMOND MI 48062

Officer/Director/Trustee Three

KRIS MROZECK
TRUSTEE
1882 SPRING GROVE
BLOOMFIELD TWP MI 48034

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2020
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C60 - Environmental Education and Outdoor Survival Programs
Organization’s purpose Charitable: No
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 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 STEPHEN ANDERSON
Signature Title DIRECTOR
Signature Date 3/18/2021

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