FORM 1023-EZ for BLUEBIRD LEGACY INC
| Field | Data |
|---|---|
| EIN | 32-0470880 |
| Case Number | EO-2018267-000395 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | BLUEBIRD LEGACY INC |
| Organization’s Mailing Address | 1715 BADGER AVE |
| City | EAU CLAIRE |
| State | WI |
| ZIP | 54701 |
| Accounting period End | 12 |
| Primary contact name | SHELLY SUTLEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SHELLY SUTLEY
PRESIDENT
1715 BADGER AVE
EAU CLAIRE WI 54701
Officer/Director/Trustee Two
HELENMAREE BARNEY SUTLEY
CHAIRPERSON
1715 BADGER AVE
EAU CLAIRE WI 54701
Officer/Director/Trustee Three
REBECCA WURZER
SECRETARY
1715 BADGER AVE
EAU CLAIRE WI 54701
Officer/Director/Trustee Four
VALERIE BOGUMILL
VICE PRESIDENT
1715 BADGER AVE
EAU CLAIRE WI 54701
Officer/Director/Trustee Five
MITCH BOGUMILL
TREASURER
1715 BADGER AVE
EAU CLAIRE WI 54701
| Organization’s website | BLUEBIRDEXPERIENCE.COM |
|---|---|
| Organization’s email | SHELLYSUTLEY@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/20/15 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | D30 - Wildlife Preservation, Protection |
| Organization’s purpose | Charitable: No Religious: No Educational: Yes Scientific: Yes 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | SHELLY SUTLEY |
| Signature Title | PRESIDENT |
| Signature Date | 9/21/18 |
| EIN | 32-0470880 |
| Case Number | EO-2017290-000228 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | BLUEBIRD LEGACY INC |
| Organization’s Mailing Address | 1715 BADGER AVENUE |
| City | EAU CLAIRE |
| State | WI |
| ZIP | 54701 |
| Accounting period End | 12 |
| Primary contact name | SHELLY SUTLEY |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
SHELLY SUTLEY
PRESIDENT
1715 BADGER AVENUE
EAU CLAIRE WI 54701
Officer/Director/Trustee Two
HELENMAREE BARNEY SUTLEY
CHAIRPERSON
1715 BADGER AVENUE
EAU CLAIRE WI 54701
Officer/Director/Trustee Three
REBECCA WURZER
SECRETARY
3312 W COUNTRY CLUB LANE
ALTOONA WI 54720
Officer/Director/Trustee Four
GINA HAAG
VICE PRESIDENT
1714 HOOVER AVE
EAU CLAIRE WI 54701
Officer/Director/Trustee Five
BART COEN
TREASURER
3046 ABBE HILL DRIVE
EAU CLAIRE WI 54703
| Organization’s website | BLUEBIRDEXPERIENCE.COM |
|---|---|
| Organization’s email | SHELLSUTLEY@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/20/2015 |
| Organization Incorporation State | WI |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | D30 - Wildlife Preservation, Protection |
| Organization’s purpose | Charitable: No Religious: No Educational: Yes Scientific: Yes 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 | |
| Signature Title | |
| Signature Date |
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