FORM 1023-EZ for ROUND LAKE AREA SCHOOLS CUSD 116 EDUCATION FOUNDATION

Field Data
EIN 47-1209496
Case Number EO-2014230-000200
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ROUND LAKE AREA SCHOOLS CUSD 116 EDUCATION FOUNDATION
Organization’s Mailing Address 316 S ROSEDALE COURT
City ROUND LAKE
State IL
ZIP 60073-2944
Accounting period End 6
Primary contact name WILLIAM JOHNSTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SAMUEL PLUM
PRESIDENT AND TRUSTEE
2604 CUHLMAN ROAD
MCHENRY IL 60051-9684

Officer/Director/Trustee Two

ERICA LOPEZ
VICE PRESIDENT AND TRUSTEE
2402 N GREYSTONE DRIVE
ROUND LAKE BEACH IL 60073-4181

Officer/Director/Trustee Three

DOUGLAS RAUL WILLIAMS
TREASURER AND TRUSTEE
154 TALL OAK DRIVE
HAINSVILLE IL 60073-4711

Officer/Director/Trustee Four

JODINE HULTMAN
SECRETARY AND TRUSTEE
1307 WITCHWOOD COURT
ROUND LAKE BEACH IL 60073-2648

Officer/Director/Trustee Five

DEBORAH HUDSON
TRUSTEE
913 CHEROKEE COURT
LAKE VILLA IL 60046-9188

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/10/2014
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - Fund Raising and/or Fund Distribution
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 Yes
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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