FORM 1023-EZ for CRITTER COVE

Field Data
EIN 82-4851869
Case Number EO-2018136-000005
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CRITTER COVE
Organization’s Mailing Address 629 FLEISHER ROAD
City GALESBURG
State IL
ZIP 61401
Accounting period End 12
Primary contact name ETHEL BUDDY MONTGOMERY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ETHEL BUDDY MONTGOMERY
PRESIDENT
625 FLEISHER ROAD
GALESBURG IL 61401

Officer/Director/Trustee Two

PHILLIP ANDY MONTGOMERY
VICE PRESIDENT
625 FLEISHER ROAD
GALESBURG IL 61401

Officer/Director/Trustee Three

JESSICA PERSEFIELD
TREASURER
1351 W CARL SANDBURG DRIVE
GALESBURG IL 61401

Officer/Director/Trustee Four

KOLE HUBER
SECRETARY
142 LAUREL AVE
GALESBURG IL 61401

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/13/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D34 - Wildlife Sanctuary, Refuge
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 ETHEL BUDDY MONTGOMERY
Signature Title PRESIDENT
Signature Date 5/11/18

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