FORM 1023-EZ for FOUR FEATHERS NATION

Field Data
EIN 81-2169212
Case Number EO-2016193-000620
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FOUR FEATHERS NATION
Organization’s Mailing Address 2666
City CRYSTAL LAKE
State IL
ZIP 60039
Accounting period End 12
Primary contact name JEFF CARLSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEFFREY CARLSON
PRESIDENT
9180 SELKIRK COURT
VILLAGE OF LAKEWOOD IL 60014-6839

Officer/Director/Trustee Two

MARK CICATELLO
VICE PRESIDENT
8985 BARDWELL LANE
VILLAGE OF LAKEWOOD IL 60014-6833

Officer/Director/Trustee Three

FORRESTER FAIA
TREASURER
1527 SUMMERHILL LN
CARY IL 60013-6502

Organization’s website
Organization’s email INFO@FOURFEATHERSNATION.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/5/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 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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