FORM 1023-EZ for COLLINSVILLE CHARITIES FOR CHILDREN

Field Data
EIN 45-2886798
Case Number EO-2019129-000237
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COLLINSVILLE CHARITIES FOR CHILDREN
Organization’s Mailing Address 304 AUTUMN RIDGE
City COLLINSVILLE
State IL
ZIP 62234
Accounting period End 12
Primary contact name GRANT KOENTZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GRANT KOENTZ
PRESIDENT
304
COLLINSVILLE IL 62234

Officer/Director/Trustee Two

DEREK JOHNSON
VICE PRESIDENT
105 LOCKSLEY CT
TROY IL 62294

Officer/Director/Trustee Three

ROBERT UHRIG
TREASURER
86 STONEBROOKE
TROY IL 62294

Officer/Director/Trustee Four

ROBYN KOENTZ
SECRETARY
304 AUTUMN RIDGE
COLLINSVILLE IL 62234

Officer/Director/Trustee Five

AIMEE JOHNSON
BOARD MEMBER
105 LOCKSLEY CT
TROY IL 62294

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/2/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P58 - Gift Distribution
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 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 GRANT KOENTZ
Signature Title PRESIDENT
Signature Date 5/7/19

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