FORM 1023-EZ for THE BENJAMIN AND MARY EVELYN MOORE FOUNDATION
| Field | Data |
|---|---|
| EIN | 82-3990042 |
| Case Number | EO-2018067-000147 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | THE BENJAMIN AND MARY EVELYN MOORE FOUNDATION |
| Organization’s Mailing Address | 207 W JEFFERSON STREET SUITE 400 |
| City | BLOOMINGTON |
| State | IL |
| ZIP | 61701 |
| Accounting period End | 12 |
| Primary contact name | NICHOLAS HOUSKA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
KEVIN C MOORE
PRESIDNET
273 HAWTHORNE AVE
HADDONFIELD NJ 8033
Officer/Director/Trustee Two
D TODD MOORE
VICE PRESIDENT
1421 MCKENNIE AVE
NASHVILLE TN 37206
Officer/Director/Trustee Three
HOLLY J HOUSKA
TREASURER
2433 MALONEY DR
BLOOMINGTON IL 61704
Officer/Director/Trustee Four
ELLEN MORGAN
DIRECTOR
603 N SCHOOL STREET
NORMAL IL 61761
Officer/Director/Trustee Five
DOUGLAS H LAMB
SECRETARY
17 PENDELTON WAY
BLOOMINGTON IL 61704
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 9/24/17 |
| Organization Incorporation State | IL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | P72 - Half-Way House (Short-Term Residential Care) |
| 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 | KEVIN C MOORE |
| Signature Title | PRESIDNET |
| Signature Date | 3/6/18 |
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