FORM 1023-EZ for MOES MEMORIAL GOLF FUNDRAISER

Field Data
EIN 86-2301753
Case Number EO-2021125-000037
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MOES MEMORIAL GOLF FUNDRAISER
Organization’s Mailing Address 147 STONEGATE ROAD
City BUFFALO GROVE
State IL
ZIP 60089
Accounting period End 12
Primary contact name DENISE KULICK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DENISE KULICK
TRUSTEE
147 STONEGATE ROAD
BUFFALO GROVE IL 60089

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/26/2021
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F70 - Mental Health Disorders
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 DENISE KULICK
Signature Title TRUSTEE
Signature Date 5/1/2021

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