FORM 1023-EZ for PLEASANT HILL COMMUNITY CLUB INC

Field Data
EIN 84-3560726
Case Number EO-2019333-000112
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PLEASANT HILL COMMUNITY CLUB INC
Organization’s Mailing Address 304 FAIRGROUND ROAD
City PLEASANT HILL
State IL
ZIP 62366
Accounting period End 12
Primary contact name JOE COLLARD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOE COLLARD
PRESIDENT
602 HOUSTON ST
PLEASANT HILL IL 62366

Officer/Director/Trustee Two

KYLEE ORR
VICE PRESIDENT
602 BRANT ST
PLEASANT HILL IL 62366

Officer/Director/Trustee Three

JENNA SIMONSEN
TREASURER
22776 290TH ST
NEW CANTON IL 62356

Officer/Director/Trustee Four

DANA COLLARD
SECRETARY
602 HOUSTON ST
PLEASANT HILL IL 62366

Officer/Director/Trustee Five

BILL BURDICK
TRUSTEE
906 NORTHRIDGE ST
PLEASANT HILL IL 62366

Organization’s website
Organization’s email PLEASANTHILLCOMMUNITYCLUB@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Z99 - Unclassified
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 JOE COLLARD
Signature Title PRESIDENT
Signature Date 11/26/19

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