FORM 1023-EZ for PIATT COUNTY SOIL AND WATER CONSERVATION DISTRICT FOUNDATION

Field Data
EIN 81-1638908
Case Number EO-2016063-000141
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PIATT COUNTY SOIL AND WATER CONSERVATION DISTRICT FOUNDATION
Organization’s Mailing Address 1209 BEAR LANE
City MONTICELLO
State IL
ZIP 61856
Accounting period End 6
Primary contact name JONAH TOTTEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOHN BECKHART
CHAIRMEN
1154 STATE HWY 32
CISCO IL 61830

Officer/Director/Trustee Two

JERRY EDWARDS
VICE CHIRMEN
3047 N 1350 EAST RD
MANSFIELD IL 61856

Officer/Director/Trustee Three

ERIC MILLER
SECRETARY/TREASURER
36 LONG GROVE DRIVE
MONTICELLO IL 61856

Officer/Director/Trustee Four

BUTCH FISHER
DIRECTOR
227 N 600 EAST RD
HAMMOND IL 61856

Officer/Director/Trustee Five

WYATT MUSE
DIRECTOR
1100 E 1600 NORTH RD
MONTICELLO IL 61856

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/16/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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