FORM 1023-EZ for HHS ALUMNI FOUNDATION

Field Data
EIN 27-4633837
Case Number EO-2015217-000186
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HHS ALUMNI FOUNDATION
Organization’s Mailing Address PO BOX 101
City HOMER
State IL
ZIP 61849
Accounting period End 12
Primary contact name KATHY FOGERSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRIAN HARDMAN
CHIEF EXECUTIVE OFFICER
PO BOX 101
HOMER IL 61849

Officer/Director/Trustee Two

JODI BEAR
CHIEF FINANCIAL OFFICER
PO BOX 101
HOMER IL 61849

Officer/Director/Trustee Three

JAMIE PAWLAK
OFFICER
PO BOX 101
HOMER IL 61849

Officer/Director/Trustee Four

KATHY FOGERSON
OFFICER
PO BOX 101
HOMER IL 61849

Organization’s website WWW.HHSALUMNIFOUNDATION.WEEBLY.COM
Organization’s email HHSALUMNIFOUND@GMAIL.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/1/2010
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A12 - 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
Signature Title
Signature Date

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