FORM 1023-EZ for THE JACKSON L AND BETTE A WILLIAMSFOUNDATION INC

Field Data
EIN 47-4740769
Case Number EO-2015225-000339
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE JACKSON L AND BETTE A WILLIAMSFOUNDATION INC
Organization’s Mailing Address 1750 BEN FRANKLIN DR 10 E
City SARASOTA
State FL
ZIP 34236
Accounting period End 6
Primary contact name BETTE A VAN TIEGHEM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

ELIZABETH A VAN TIEGHEM
PRESIDENT
1750 BEN FRANKLIN DR 10 E
SARASOTA FL 34236

Officer/Director/Trustee Two

WENDY S SCHLEICH
TREASURER
34441 IL 97 N
FAIRVIEW IL 61432

Officer/Director/Trustee Three

RANDALL K SCHLEICH
BOARD MEMBER
34441 IL 97 N
FAIRVIEW FL 61432

Officer/Director/Trustee Four

JOHN M O NEILL
BOARD MEMBER
1604 11TH AVE
MOLINE IL 61265

Officer/Director/Trustee Five

SANDY K O NEILL
SECRETARY
1604 11TH AVE
MOLINE IL 61265

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/8/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T21 - Corporate Foundations
Organization’s purpose Charitable: Yes
Religious: Yes
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
Signature Title
Signature Date

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