FORM 1023-EZ for GEORGIAS PLACE BIRD SANCTUARY

Field Data
EIN 84-3947452
Case Number EO-2019360-000273
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GEORGIAS PLACE BIRD SANCTUARY
Organization’s Mailing Address 20612 E US HIGHWAY 14
City HARVARD
State IL
ZIP 60033-8764
Accounting period End 12
Primary contact name REHANA MOHAMMED-SMITH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REHANA MOHAMMED-SMITH
PRESIDENT
20612 E US HIGHWAY 14
HARVARD IL 60033-8764

Officer/Director/Trustee Two

JOSEPH SMITH
VICE PRESIDENT
20612 E US HIGHWAY 14
HARVARD IL 60033-8764

Officer/Director/Trustee Three

HEATHER FRIEDLI
SECRETARY
5345 LANSBURY CIRCLE
LAKE IN THE HILLS IL 60156-5846

Officer/Director/Trustee Four

NANCY KEMP
TREASURER
39215 87TH STREET
POWERS LAKE WI 53159

Officer/Director/Trustee Five

LOUISE MILLING
BOARD MEMBER
800 ELGIN ROAD UNIT 602
EVANSTON IL 60201-5622

Organization’s website
Organization’s email GEORGIASPLACEBIRDSANCTUARY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/30/2019
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: 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 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 REHANA MOHAMMED-SMITH
Signature Title PRESIDENT
Signature Date 12/23/2019

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