FORM 1023-EZ for THREE BIRDS PLAYHOUSE

Field Data
EIN 85-2525768
Case Number EO-2020233-000120
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THREE BIRDS PLAYHOUSE
Organization’s Mailing Address 10032 N WESTLAKE CT
City ROBINSON
State IL
ZIP 62454
Accounting period End 12
Primary contact name TARA GALLION
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TARA GALLION
DIRECTOR
10032 N WESTLAKE CT
ROBINSON IL 62454

Officer/Director/Trustee Two

DAN DIX
TRUSTEE
10824 E 900TH ST
ROBINSON IL 62454

Officer/Director/Trustee Three

TOM MOORE
TRUSTEE
504 N RANGE ST
OBLONG IL 62449

Officer/Director/Trustee Four

MINDY EVANS
TRUSTEE
604 S FRANKLIN
ROBINSON IL 62454

Officer/Director/Trustee Five

RACHEL CARTER
TRUSTEE
704 W EMMONS
ROBINSON IL 62454

Organization’s website
Organization’s email THREEBIRDSCAMP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A60 - Performing Arts Organizations
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TARA GALLION
Signature Title DIRECTOR
Signature Date 8/18/2020

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