FORM 1023-EZ for AUSTIN SHERWOOD FOUNDATION

Field Data
EIN 84-3966351
Case Number EO-2020087-000181
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name AUSTIN SHERWOOD FOUNDATION
Organization’s Mailing Address 3507 CASTLEMAIN DRIVE
City BLOOMINGTON
State IL
ZIP 61704-4831
Accounting period End 12
Primary contact name BRIAN J YELTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRIAN YELTON
PRESIDENT
3507 CASTLEMAIN DRIVE
BLOOMINGTON IL 61704-4831

Officer/Director/Trustee Two

JEFF SHERWOOD
VICE PRESIDENT
410 EAST WASHINGTON ST APT 201
BLOOMINGTON IL 61704-4047

Officer/Director/Trustee Three

JILL LAVINE
SECRETARY
2484 GLENFORD DRIVE
AURORA IL 60502-9006

Officer/Director/Trustee Four

ANDY SHERWOOD
BOARD MEMBER
314 CYRSTAL BLVD
MANITOU SPRINGS CO 80829-2730

Officer/Director/Trustee Five

BOB MOEWS
BOARD MEMBER
107 VALE ST
BLOOMINGTON IL 61704-4224

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/21/2019
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W12 - 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 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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name BRIAN YELTON
Signature Title PRESIDENT
Signature Date 3/25/2020

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