FORM 1023-EZ for CACHE CREEK

Field Data
EIN 83-3334261
Case Number EO-2019190-000119
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CACHE CREEK
Organization’s Mailing Address 14940 S 81ST CT
City ORLAND PARK
State IL
ZIP 60462
Accounting period End 12
Primary contact name BARBARA BARTKOWIAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BARBARA BARTKOWIAK
OFFICER
14940 S 81ST CT
ORLAND PARK IL 60462

Officer/Director/Trustee Two

MELISSA RYERSON
OFFICER
3818 PANDOLA
JOLIET IL 60431

Officer/Director/Trustee Three

DONNA HAWK
OFFICER
60 HAWK LANE
COBDEN IL 62920

Organization’s website
Organization’s email BARBBART124@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/19
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: Yes
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 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 Yes
Signature Name BARBARA BARTKOWIAK
Signature Title OFFICER
Signature Date 7/3/19

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