FORM 1023-EZ for PINCKNEYVILLE COMMUNITY HOSPITAL AUXILIARY

Field Data
EIN 47-5685014
Case Number EO-2016027-000193
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PINCKNEYVILLE COMMUNITY HOSPITAL AUXILIARY
Organization’s Mailing Address 5383 STATE ROUTE 154
City PINCKNEYVILLE
State IL
ZIP 62274
Accounting period End 4
Primary contact name KARA JO CARSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SANDRA TIMPNER
PRESIDENT
4988 LINDENWOOD ROAD
PINCKNEYVILLE IL 62274

Officer/Director/Trustee Two

CAROL VOORHEES
VICE PRESIDENT
PO BOX 273
PINCKNEYVILLE IL 62274

Officer/Director/Trustee Three

BONNIE TOLBERT
SECRETARY
511 SOUTH MILL STREET
PINCKNEYVILLE IL 62274

Officer/Director/Trustee Four

OMA LEE
TREASURER
510 ELIZABETH STREET APT 6
PINCKNEYVILLE IL 62274

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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

Recently Saved Organizations

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