FORM 1023-EZ for TYSONS PLACE ANIMAL RESCUE

Field Data
EIN 47-1009233
Case Number EO-2014295-000092
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TYSONS PLACE ANIMAL RESCUE
Organization’s Mailing Address 1904 8TH AVE SW
City BYRON CENTER
State MI
ZIP 49315-9515
Accounting period End 6
Primary contact name JILL BANNINK-ALBRECHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JILL BANNINK-ALBRECHT
PRESIDENT/FOUNDER
1904 8TH AVE SW
BYRON CENTER MI 49315-9515

Officer/Director/Trustee Two

STEVEN HARTLINE
DIRECTOR
165 PORTCHESTER ROAD
HOLLAND MI 49424

Officer/Director/Trustee Three

ELIZABETH HARTLINE
DIRECTOR
165 PORTCHESTER ROAD
HOLLAND MI 49424

Officer/Director/Trustee Four

MICHAEL ALBRECHT
TRESURER
1904 8TH AVE SW
BYRON CENTER MI 49315-9515

Officer/Director/Trustee Five

ELEANOR DAVIS
DIRECTOR
76 IROQUOIS DR
HOLLAND MI 49424

Organization’s website NA
Organization’s email TYSONSPLACERESCUE@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/23/2014
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D01 - Alliance/Advocacy Organizations
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 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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