FORM 1023-EZ for EDGAR COUNTY DIABETES ASSOCIATION

Field Data
EIN 20-4814107
Case Number EO-2019144-000169
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name EDGAR COUNTY DIABETES ASSOCIATION
Organization’s Mailing Address 7 COUNTRY CLUB RD S
City PARIS
State IL
ZIP 61944
Accounting period End 12
Primary contact name AUGUST GRIFFIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

AUGUST GRIFFIN
PRESIDENT
7 COUNTRY CLUB RD S
PARIS IL 61944

Officer/Director/Trustee Two

DEBRA GRIFFIN
SEC/TREAS
7 COUNTRY CLUB RD S
PARIS IL 61944

Officer/Director/Trustee Three

CONNIE HOGAN
DIRECTOR
E COURT ST
PARIS IL 61944

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/27/06
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E12 - Fund Raising and/or Fund Distribution
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name AUGUST GRIFFIN
Signature Title PRESIDENT
Signature Date 5/22/19

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