FORM 1023-EZ for THE YELLOW CREEK FOUNDATION

Field Data
EIN 37-1829852
Case Number EO-2016190-000626
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE YELLOW CREEK FOUNDATION
Organization’s Mailing Address PO BOX 240
City BATH
State OH
ZIP 44210-0240
Accounting period End 4
Primary contact name JAMES A STENDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRENDA K BORISUK-MCSHAFFREY
DIRECTOR, CEO
3350 YELLOW CREEK ROAD
BATH OH 44333

Officer/Director/Trustee Two

JAMES A STENDER
DIRECTOR, CFO
419 E BAIRD AVE
BARBERTON OH 44203

Officer/Director/Trustee Three

MARK A SPISAK
DIRECTOR
4051 BROOKSIDE COURT
NORTON OH 44203

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/12/2016
Organization Incorporation State OH
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C32 - Water Resource, Wetlands Conservation and Management
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: Yes
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 Yes
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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