FORM 1023-EZ for DOMINION SANCTUARY

Field Data
EIN 83-3222000
Case Number EO-2019037-000677
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name DOMINION SANCTUARY
Organization’s Mailing Address 9950 PINE ISLAND
City SPARTA
State MI
ZIP 49345
Accounting period End 12
Primary contact name ALLIE GADZIEMSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALLIE GADZIEMSKI
PRESIDENT
9950 PINE ISLAND DR
SPARTA MI 49345

Officer/Director/Trustee Two

JIM GADZIEMSKI
OFFICER
9950 PINE ISLAND DR
SPARTA MI 49345

Officer/Director/Trustee Three

KYUNGHEE ENOCHS
OFFICER
5355 NORTHLAND DR NE 207
GRAND RAPIDS MI 49525

Officer/Director/Trustee Four

ROBERT ENOCHS
OFFICER
5355 NORTHLAND DR NE 207
GRAND RAPIDS MI 49525

Officer/Director/Trustee Five

ALEXIANNA MUNDY
OFFICER
4303 LAKE FARMS CT
LINDEN MI 48451

Organization’s website WWW.DOMINIONSANCTUARY.ORG
Organization’s email DOMINIONSANCTUARYMI@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/10/19
Organization Incorporation State MI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
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 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 ALLIE GADZIEMSKI
Signature Title PRESIDENT
Signature Date 1/29/19

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