FORM 1023-EZ for BELVIDERE NORTH HIGH SCHOOL MUSIC ASSOCIATION OF BELVIDERE

Field Data
EIN 81-1695045
Case Number EO-2016293-000497
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BELVIDERE NORTH HIGH SCHOOL MUSIC ASSOCIATION OF BELVIDERE
Organization’s Mailing Address 9393 BELOIT RD
City BELVIDERE
State IL
ZIP 61008
Accounting period End 6
Primary contact name REBECCA REYNOLDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

REBECCA REYNOLDS
PRESIDENT
720 W MADISON ST
BELVIDERE IL 61008

Officer/Director/Trustee Two

PHILLIP VERMILLION
DIRECTOR OF CHORAL ACTIVITIES
9393 BELOIT RD
BELVIDERE IL 61008

Officer/Director/Trustee Three

SCOTT ASKA
DIRECTOR OF BAND
9393 BELOIT RD
BELVIDERE IL 61008

Officer/Director/Trustee Four

JEANNE ALBRECHT
CO-VICE PRESIDENT
1313 CONLIN COURT
BELVIDERE IL 61008

Officer/Director/Trustee Five

RACHEAL MORSE
TREASURER
9393 BELOIT RD
BELVIDERE IL 61008

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/4/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 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
Signature Title
Signature Date

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