FORM 1023-EZ for DIXON FOOTBALL QUARTERBACK CLUB

Field Data
EIN 46-5281903
Case Number EO-2015140-000364
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DIXON FOOTBALL QUARTERBACK CLUB
Organization’s Mailing Address 417 WEST GRAHAM STREET
City DIXON
State IL
ZIP 61021
Accounting period End 5
Primary contact name RONALD HELFRICH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

RONALD HELFRICH
PRESIDENT
417 WEST GRAHAM STREET
DIXON IL 61021

Officer/Director/Trustee Two

TIMOTHY CRAWFORD
VICE PRESIDENT
510 ROCK ISLAND ROAD
DIXON IL 61021

Officer/Director/Trustee Three

JODI JOHNSON
TREASURER
7622 IL ROUTE 2 SOUTH
OREGON IL 61061

Officer/Director/Trustee Four

ANGELA HARRISON
SECRETARY
610 PANTHER DRIVE
DIXON IL 61021

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/2/2014
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N65 - Football Clubs, Leagues
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 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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