FORM 1023-EZ for CHRISTIAN COUNTY PREVENTION COALITION INC

Field Data
EIN 45-4196972
Case Number EO-2015324-000234
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHRISTIAN COUNTY PREVENTION COALITION INC
Organization’s Mailing Address 902 W SPRINGFIELD ROAD
City TAYLORVILLE
State IL
ZIP 62568
Accounting period End 12
Primary contact name NANCY MARTIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRIS BOSTON
CO-CHAIR
403 W TREMONT STREET
HILLSBORO IL 62049

Officer/Director/Trustee Two

JODI HEBERLING
CHAIR
1212 EAST 650 NORTH ROAD
O IL 62555

Officer/Director/Trustee Three

NANCY MARTIN
DIRECTOR
PO BOX 103
WITT IL 62094

Officer/Director/Trustee Four

JOHN COADY
CO-CHAIR
207 SOUTH OTHELLE
TAYLORVILLE IL 62568

Officer/Director/Trustee Five

BERNADETTE SALISBURY
TREASURER
3845 LAKE DRIVE
TAYLORVILLE IL 62568

Organization’s website WWW.CC-PC.ORG
Organization’s email JOHNCOADY@HOTMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/24/2012
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F21 - Alcohol, Drug Abuse, Prevention Only
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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