FORM 1023-EZ for CAMP OF EXCELLENCE INC NFP

Field Data
EIN 82-4183221
Case Number EO-2018312-000012
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CAMP OF EXCELLENCE INC NFP
Organization’s Mailing Address 815 BROADWAY STREET
City MOUNT VERNON
State IL
ZIP 62864-4100
Accounting period End 12
Primary contact name KAYLA VANDERLINDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SARAH BUCKLEY
PRESIDENT
17 CHERRY DRIVE
MOUNT VERNON IL 62864-4100

Officer/Director/Trustee Two

GREG GRAVES
VICE PRESIDENT
828 APRICOT
MOUNT VERNON IL 62864-4100

Officer/Director/Trustee Three

KAYLA VANDERLINDEN
TREASURER
3513 OXFORD AVE
MOUNT VERNON IL 62864-4100

Officer/Director/Trustee Four

MICHAEL DAVIS
DIRECTOR OF SUB COMMITTEE
14846 N MCCAULEY
MOUNT VERNON IL 62864-4100

Officer/Director/Trustee Five

RICK ROBERSON
SECRETARY
1405 N 10TH STREET
MOUNT VERNON IL 62864-4100

Organization’s website WWW.CAMPOFEXCELLENCE.ORG
Organization’s email KAYLA.V@CAMPOFEXCELLENCE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/15/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O20 - Youth Centers, Clubs, Multipurpose
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 KAYLA VANDERLINDEN
Signature Title TREASURER
Signature Date 11/4/18

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