FORM 1023-EZ for LITTLE BLUESTEM SANCTUARY INC

Field Data
EIN 87-1804211
Case Number EO-2021250-000523
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LITTLE BLUESTEM SANCTUARY INC
Organization’s Mailing Address 28345 STREAMWOOD DR
City BEECHER
State IL
ZIP 60401
Accounting period End 12
Primary contact name SCOTT CARLOCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SCOTT CARLOCK
OFFICER
28345 STREAMWOOD DR
BEECHER IL 60401

Officer/Director/Trustee Two

KATHERINE BEHRENS
DIRECTOR
28345 STREAMWOOD DR
BEECHER IL 60401

Officer/Director/Trustee Three

PATRICIA BEHRENS
TRUSTEE
28345 STREAMWOOD DRIVE
BEECHER IL 60401

Organization’s website LITTLEBLUESTEMSANCTUARY.ORG
Organization’s email KATHERINE@LITTLEBLUESTEMSANCTUARY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2021
Organization Incorporation State IL
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: No
Religious: No
Educational: No
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name SCOTT CARLOCK
Signature Title OFFICER
Signature Date 9/3/2021

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