FORM 1023-EZ for SOUTHEASTERN ILLINOIS COMMUNITY HEALTH COALITION
| Field | Data |
|---|---|
| EIN | 27-2025485 |
| Case Number | EO-2017184-000046 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | SOUTHEASTERN ILLINOIS COMMUNITY HEALTH COALITION |
| Organization’s Mailing Address | 929 KAREL PARK ROAD |
| City | ELDORADO |
| State | IL |
| ZIP | 62930 |
| Accounting period End | 6 |
| Primary contact name | JAMES BYRD |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JAMES BYRD
TREASURER
929 KAREL PARK ROAD
ELDORADO IL 62930
Officer/Director/Trustee Two
CHRIS PROCTOR
PRESIDENT
415 EAST CLARK TRAIL APT 1
HERRIN IL 62948
Officer/Director/Trustee Three
ELIZABETH COOK
SECRETARY
713 SOUTH GRANGER STREET
HARRISBURG IL 62946
Officer/Director/Trustee Four
ELIZABETH COOLEY
DIRECTOR
323 WEST CHURCH STREET
HARRISBURG IL 62946
Officer/Director/Trustee Five
KRISTIN PARKS
PRESIDENT ELECT
2020 RIDGE STRET
ELDORADO IL 62930
| Organization’s website | HTTP://WWW.HSIDN.ORG/SOUTHEASTERN-ILLINOIS-COMMUNITY-HEALTH-COALITION.HTML |
|---|---|
| Organization’s email | JBYRD@EGYPTIAN.ORG |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/25/2011 |
| Organization Incorporation State | IL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E01 - Alliance/Advocacy Organizations |
| Organization’s purpose | Charitable: Yes 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 | 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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