FORM 1023-EZ for CHRISTIAN HOME GROUP OF BLOOMINGTON-NORMAL

Field Data
EIN 47-1245926
Case Number EO-2015051-000128
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHRISTIAN HOME GROUP OF BLOOMINGTON-NORMAL
Organization’s Mailing Address 12063 N 3900 EAST RD
City SAYBROOK
State IL
ZIP 61770
Accounting period End 5
Primary contact name JENEE BEATTY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JENEE BEATTY
DIRECTOR
12063 N 3900 East Rd
Saybrook IL 61770

Officer/Director/Trustee Two

TAMMY CALLICOTT
ASST. DIRECTOR
1509 COURTLAND AVE
NORMAL IL 61761

Officer/Director/Trustee Three

MELODY MCCLURE
BOARD MEMBER
601 WOODRIG RD
BLOOMINGTON IL 61704

Officer/Director/Trustee Four

DEB MILLER
BOARD MEMBER
2552 E 800 NORTH RD
STANFORD IL 61774

Officer/Director/Trustee Five

LESLIE ROCHE
BOARD MEMBER
100 S BONE DR
NORMAL IL 61761

Organization’s website N/A
Organization’s email CHRISTIANHOMEGROUP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/22/2014
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
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
Signature Title
Signature Date

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