FORM 1023-EZ for THE BLOUKE AND MARIANNE CARUS FOUNDATION

Field Data
EIN 47-2149253
Case Number EO-2014338-000287
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE BLOUKE AND MARIANNE CARUS FOUNDATION
Organization’s Mailing Address 315 FIFTH STREET
City PERU
State IL
ZIP 61354
Accounting period End 12
Primary contact name GREG THIESS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BLOUKE CARUS
CHAIRMAN
315 FIFTH STREET
PERU IL 61354

Officer/Director/Trustee Two

INGA CARUS
VICE CHAIRMAN
315 FIFTH STREET
PERU IL 61354

Officer/Director/Trustee Three

GREGORY THIESS
SECRETARY/TREASURER
315 FIFTH STREET
PERU IL 61354

Officer/Director/Trustee Four

MARIANNE CARUS
DIRECTOR
315 FIFTH STREET
PERU IL 61354

Officer/Director/Trustee Five

PETER LIMBERGER
DIRECTOR
315 FIFTH STREET
PERU IL 61354

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/2/2014
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
Organization’s purpose Charitable: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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