FORM 1023-EZ for LINCUBATE

Field Data
EIN 82-0903839
Case Number EO-2017083-000159
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LINCUBATE
Organization’s Mailing Address 1892 1250TH AV
City LINCOLN
State IL
ZIP 62656
Accounting period End 12
Primary contact name CLINT POLLOCK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CLINT POLLOCK
PRESIDENT
1892 1250TH AV
LINCOLN IL 62656

Organization’s website WWW.LINCUBATE.ORG
Organization’s email EMAIL@LINCUBATE.ORG OR CLINT@LINCUBATE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/6/2017
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S41 - Promotion of Business
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More Yes
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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