FORM 1023-EZ for RORY AND RYAN MILLER MEMORIAL FOUNDATION

Field Data
EIN 82-5455933
Case Number EO-2018232-000463
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name RORY AND RYAN MILLER MEMORIAL FOUNDATION
Organization’s Mailing Address 33867 COUNTY HWY 6
City BAYLIS
State IL
ZIP 62314-2507
Accounting period End 12
Primary contact name JAY SCHOLL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

NATHAN KURFMAN
PRESIDENT; BOARD MEMBER
33867 COUNTY HWY 6
BAYLIS IL 62314-2507

Officer/Director/Trustee Two

MICHAEL BOOK
TREASURER; BOARD MEMBER
2119 RIDGEWOOD LANE
DIXON IL 61021-9438

Officer/Director/Trustee Three

DREW DESUTTER
SECRETARY; BOARD MEMBER
3395 75TH AVENUE
NEW WINDSOR IL 61465-9474

Officer/Director/Trustee Four

TIM BRANTNER
VICE-PRESIDENT; BOARD MEMBER
302 PIAZZA LANE
CHATHAM IL 62629-5038

Officer/Director/Trustee Five

JAY SCHOLL
BOARD MEMBER
9833 N THOUSAND OAKS CT
PEORIA IL 61615-4312

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
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 Yes
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 NATHAN KURFMAN
Signature Title PRESIDENT; BOARD MEMBER
Signature Date 8/17/18

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