FORM 1023-EZ for BIG STONE COUNTY ANIMAL RESCUE

Field Data
EIN 84-5093826
Case Number EO-2021266-000291
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BIG STONE COUNTY ANIMAL RESCUE
Organization’s Mailing Address PO BOX 153
City ORTONVILLE
State MN
ZIP 56278
Accounting period End 12
Primary contact name KRISTEN TILLOTSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KRISTEN TILLOTSON
EX DIR FACILITY MGR
204 OSEN AVENUE
ORTONVILLE MN 56278-1122

Officer/Director/Trustee Two

SANDY WEBER
ADOPTION FOSTER COORD
425 OSEN AVE
ORTONVILLE MN 56278-1125

Officer/Director/Trustee Three

MARLENE SHEROD
RECORDS MGR
215 WEST ROAD S
ODESSA MN 56276-2070

Officer/Director/Trustee Four

MELISSA NELSON
MEDICAL ADVISOR
37944 700TH AVE
ORTONVILLE MN 56278-2098

Officer/Director/Trustee Five

ERICA SEVERTSON
VOLUNTEER COORDINATOR
320 PARK STREET
ORTONVILLE MN 56278-1233

Organization’s website BIGSTONECOUNTYANIMALRESCUE.ORG
Organization’s email BIGSTONECOUNTYANIMALRESCUE@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/2018
Organization Incorporation State MN
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 Yes
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 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 No
Signature Name KRISTEN TILLOTSON
Signature Title EX DIR FACILITY MGR
Signature Date 9/21/2021

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