FORM 1023-EZ for GREAT LAKES SANTAS INC

Field Data
EIN 81-1762149
Case Number EO-2016074-000212
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GREAT LAKES SANTAS INC
Organization’s Mailing Address 23334 HAYNES STREET
City FARMINGTON HILLS
State MI
ZIP 48336
Accounting period End 12
Primary contact name CLETIS HELSEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CLETIS HELSEL
PRESIDENT
23334 HAYNES ST
FARMINGTON HILLS MI 48336

Officer/Director/Trustee Two

RANCE MILLER
TREASURER
3132 BROCK DRIVE
TOLEDO OH 43613

Officer/Director/Trustee Three

JAMES ALLISON
SECRETARY
1796 MAPLE STREET
WYANDOTTE MI 48192

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/22/2016
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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
Signature Title
Signature Date

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