FORM 1023-EZ for CHARLES HEINEMEIER MEMORIAL SCHOLARSHIP FOUNDATION

Field Data
EIN 47-5351759
Case Number EO-2016214-000390
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHARLES HEINEMEIER MEMORIAL SCHOLARSHIP FOUNDATION
Organization’s Mailing Address PO BOX 459
City BUNKER HILL
State IL
ZIP 62014
Accounting period End 12
Primary contact name ANDREW PD HEINEMEIER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ANDREW PD HEINEMEIER
PRESIDENT
PO BOX 459
BUNKER HILL IL 62014

Officer/Director/Trustee Two

RIA HEINEMEIER
SECRETARY
PO BOX 459
BUNKER HILL IL 62014

Officer/Director/Trustee Three

CASSANDRA BEESLEY
TREASURER
PO BOX 459
BUNKER HILL IL 62014

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2015
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 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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