FORM 1023-EZ for FAIRMONT CITY YOUTH PROGRAM

Field Data
EIN 81-3759290
Case Number EO-2018093-000014
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAIRMONT CITY YOUTH PROGRAM
Organization’s Mailing Address 2727 N 38TH ST
City FAIRMONT CITY
State IL
ZIP 62201
Accounting period End 12
Primary contact name RAUL MUNOZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RAUL MUNOZ
DIRECTOR
2727 N 38TH ST
FAIRMONT CITY IL 62201

Officer/Director/Trustee Two

CHARLES ARRIOLA
DIRECTOR
4110 COLLINSVILLE RD
FAIRMONT CITY IL 62201

Officer/Director/Trustee Three

MICHAEL SUAREZ
DIRECTOR
2529 N 38TH ST
FAIRMONT CITY IL 62201

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N64 - Soccer Clubs, Leagues
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 No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RAUL MUNOZ
Signature Title DIRECTOR
Signature Date 3/30/18

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