FORM 1023-EZ for PAINT CREEK SANCTUARY INC

Field Data
EIN 81-2533052
Case Number EO-2016196-000508
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PAINT CREEK SANCTUARY INC
Organization’s Mailing Address 971 DUTTON RD
City ROCHESTER HILLS
State MI
ZIP 48306
Accounting period End 12
Primary contact name LOREN SIFFRING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CORYDON SIFFRING
DIRECTOR
1009 GLOUCESTER
KINGSPORT TN 37601

Officer/Director/Trustee Two

RON DAGGETT
DIRECTOR
6600 ORION RD
ROCHESTER HILLS MI 48306

Officer/Director/Trustee Three

JASON SCHOMER
DIRECTOR
1700 W GUNN RD
ROCHESTER HILLS MI 48306

Officer/Director/Trustee Four

EARLE VAN DYKE
DIRECTOR
6000 N OCEAN BLVD
LAUDERDALE BY SEA FL 33308

Officer/Director/Trustee Five

LOREN SIFFRING
DIRECTOR, PRESIDENT
971 DUTTON RD
ROCHESTER HILLS MI 48306

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/2/2016
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 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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