FORM 1023-EZ for LIBRE

Field Data
EIN 81-4241533
Case Number EO-2017027-000248
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIBRE
Organization’s Mailing Address 213-15 N WASHINGTON ST
City CARBONDALE
State IL
ZIP 62901-1509
Accounting period End 12
Primary contact name JESSICA LYNN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHANNA TESFAYE
OFFICER
1604 CORONADO DR APT 4
CHAMPAIGN IL 61820-7018

Officer/Director/Trustee Two

ERICA BRANDT
OFFICER
1350 LIME KILN RD
ANNA IL 62906-3058

Officer/Director/Trustee Three

JESSICA LYNN
DIRECTOR
307 E BIRCH
CARBONDALE IL 62901-1621

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A99 - Arts, Culture, and Humanities N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
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 Yes
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
Signature Title
Signature Date

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