FORM 1023-EZ for HEYWORTH AND RANDOLPH TOWNSHIP ARTSCOUNCIL

Field Data
EIN 81-4529995
Case Number EO-2016336-000346
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HEYWORTH AND RANDOLPH TOWNSHIP ARTSCOUNCIL
Organization’s Mailing Address 302 E COLE STREET
City HEYWORTH
State IL
ZIP 61745
Accounting period End 12
Primary contact name THOMAS HAYNES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS HAYNES
PRESIDENT
302 E COLE ST
HEYWORTH IL 61745

Officer/Director/Trustee Two

ALISON LOCKENVITZ
VICE PRESIDENT
1417 CROXTON AVENUE NO 6
BLOOMINGTON IL 61701

Officer/Director/Trustee Three

NICOLE HACKNEY
HISTORIAN AND MEDIA DIRECTOR
705 EASTVIEW DR
MCLEAN IL 61754

Officer/Director/Trustee Four

BETH PORTER
TREASURER
33 KENFIELD CIRCLE
BLOOMINGTON IL 61704

Officer/Director/Trustee Five

MARY LEE
SECRETARY
322 POPLAR ST
HEYWORTH IL 61745

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/10/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A26 - Arts Council/Agency
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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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