FORM 1023-EZ for MENARD COUNTY MENS CLUB

Field Data
EIN 85-3870293
Case Number EO-2020321-000532
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MENARD COUNTY MENS CLUB
Organization’s Mailing Address 1215 S 4TH ST SUITE A
City SPRINGFIELD
State IL
ZIP 62703-2259
Accounting period End 12
Primary contact name JARED CANTERBURY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JARED CANTERBURY
PRESIDENT
762 PERSIMMON RD
PETERSBURG IL 62675

Officer/Director/Trustee Two

BRIAN VOGT
SECRETARY
21 APPLE LOOP
PETERSBURG IL 62675

Officer/Director/Trustee Three

JOE BILYEU
TREASURER
533 W SHERIDAN
PETERSBURG IL 62675

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/12/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S82 - Men's Service Clubs
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 JARED CANTERBURY
Signature Title PRESIDENT
Signature Date 11/12/2020

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