FORM 1023-EZ for MOMMY HUBBARDS NICU CUPBOARD

Field Data
EIN 35-2544280
Case Number EO-2016060-000128
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOMMY HUBBARDS NICU CUPBOARD
Organization’s Mailing Address 2805 HAVERHILL ROAD
City SPRINGFIELD
State IL
ZIP 62711
Accounting period End 12
Primary contact name KELLY HUBBARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KELLY HUBBARD
DIRECTOR
2805 HAVERHILL ROAD
SPRINGFIELD IL 62711

Officer/Director/Trustee Two

JOYCE HUBBARD
BOARD MEMBER
2805 HAVERHILL ROAD
SPRINGFIELD IL 62711

Officer/Director/Trustee Three

AMANDA FOGLEMAN
BOARD MEMBER
1521 HOMEWOOD AVE
SPRINGFIELD IL 62704

Organization’s website WWW.FACEBOOK.COM/MOMMYHUBBARDNICUCUPBOARD
Organization’s email MOMMYHUBBARD711@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/19/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code G11 - Single Organization Support
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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