FORM 1023-EZ for MEEMORIAL HOSPITAL FOUNDATION

Field Data
EIN 47-3010424
Case Number EO-2015037-000189
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MEEMORIAL HOSPITAL FOUNDATION
Organization’s Mailing Address 608 WABASH AVE NUM 70
City CARTHAGE
State IL
ZIP 62321-0070
Accounting period End 12
Primary contact name STANLEY L TUCKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JAMES NIGHTINGALE
PRESIDENT
427 N MARION
CARTHAGE IL 62321-0427

Officer/Director/Trustee Two

DON GRIFFITH
VICE PRESIDENT
54 WILLOW LANE
NAUVOO IL 62354-0054

Officer/Director/Trustee Three

CHARLES GILBERT
DIRECTOR
115 YOUNG STREET
NAUVOO IL 62354-0115

Officer/Director/Trustee Four

TERRY POPE
DIRECTOR
1751 ECR 2300
BURNSIDE IL 62330-1751

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2014
Organization Incorporation State IL
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 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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