FORM 1023-EZ for GREAT PYRENEES RESCUE OF WERTERN IL

Field Data
EIN 46-2369482
Case Number EO-2014230-000075
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GREAT PYRENEES RESCUE OF WERTERN IL
Organization’s Mailing Address 5364 E 1670TH ST
City CAMBRIDGE
State IL
ZIP 61238
Accounting period End 3
Primary contact name TARA BAZE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TARA BAZE
PRESIDENT
5364 E 1670 STREET
CAMBRIDGE IL 61238

Officer/Director/Trustee Two

DEBBIE GRAVITT
DIRECTOR
19047 US HWY 34
GALVA IL 61434

Organization’s website WWW.GPRWI.ORG
Organization’s email GPRWI@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/29/2013
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 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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