FORM 1023-EZ for BELOVED ILLINOIS

Field Data
EIN 83-3523529
Case Number EO-2019044-000409
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name BELOVED ILLINOIS
Organization’s Mailing Address 307 W RAY AVE
City CHRISTOPHER
State IL
ZIP 62822
Accounting period End 12
Primary contact name HEATHER GLIDEWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEATHER GLIDEWELL
DIRECTOR
307 W RAY AVE
CHRISTOPHER IL 62822

Officer/Director/Trustee Two

JODY WILLAIMS
OFFICER
402 S POPULAR
SESSER IL 62884

Officer/Director/Trustee Three

NIKI PACKER
TRUSTEE
14380 STATE HWY 148
SESSER IL 62884

Officer/Director/Trustee Four

CHRIS STUBBLEFIELD
TRUSTEE
13030 GULLEY LN
BENTON IL 62812

Organization’s website WWW.BELOVEDILLINOIS.ORG
Organization’s email CONNECT@BELOVEDILLINOIS.ORG
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 X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 HEATHER GLIDEWELL
Signature Title DIRECTOR
Signature Date 2/11/19

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