FORM 1023-EZ for GIBSON AREA HOUSING REHAB FOUNDATION

Field Data
EIN 46-0919739
Case Number EO-2016027-000105
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name GIBSON AREA HOUSING REHAB FOUNDATION
Organization’s Mailing Address 121 N SANGAMON AVE PO BOX 424
City GIBSON CITY
State IL
ZIP 60936
Accounting period End 1
Primary contact name DENIS FISHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

AMY HOOD
CHAIRMAN
511 HAGER CT
GIBSON CITY IL 60936

Officer/Director/Trustee Two

DENIS FISHER
SECRETARY
105 N CHURCH ST
GIBSON CITY IL 60936

Officer/Director/Trustee Three

RICK KERCHENFAUT
TREASURER
1105 N LOTT BLVD
GIBSON CITY IL 60936

Officer/Director/Trustee Four

RAYMOND E III LANTZ
VICE CHAIRMAN
124 E 18TH STREET
GIBSON CITY IL 60936

Officer/Director/Trustee Five

JERRY MINION
DIRECTOR
P O BOX 16
ELLIOTT IL 60933

Organization’s website N/A
Organization’s email GAHREHAB@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/8/2012
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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