FORM 1023-EZ for SHIRLEY HOOD MEMORIAL BREAST CANCERRELIEF FOUNDATION

Field Data
EIN 46-3614831
Case Number EO-2018106-000288
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHIRLEY HOOD MEMORIAL BREAST CANCERRELIEF FOUNDATION
Organization’s Mailing Address 5115 E CREEK RD
City BELOIT
State WI
ZIP 53511
Accounting period End 12
Primary contact name CARLEEN HASEMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARLEEN HASEMAN
PRESIDENT
5115 E CREEK RD
BELOIT WI 53511

Officer/Director/Trustee Two

ANN LOVE
TREASURER
11785 BEND RIVER RD
ROSCOE IL 61073

Officer/Director/Trustee Three

BECKY HOOD
CHAIRPERSON
318 N BLACKHAWK NO2
ROCKTON IL 61072

Officer/Director/Trustee Four

CHRISTINA THOMAS
TRUSTEE 1
10620 GROVER OAKS RD
ROSCOE IL 61073

Officer/Director/Trustee Five

RABECCA ROSEN
TRUSTEE 2
5344 MAHOGANY LANE
ROSCOE IL 61073

Organization’s website
Organization’s email SHIRLEYHOODMEMORIALS@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/10/13
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P12 - 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 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 CARLEEN HASEMAN
Signature Title PRESIDENT
Signature Date 4/10/18

Recently Saved Organizations

Click on the save icon from a search results or organization page.