FORM 1023-EZ for BELL STREET COMMUNITY CENTER

Field Data
EIN 81-3342098
Case Number EO-2016210-000144
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BELL STREET COMMUNITY CENTER
Organization’s Mailing Address 806 BELL STREET
City BLOOMINGTON
State IL
ZIP 61701
Accounting period End 8
Primary contact name JACSON MOODY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JACSON MOODY
DIRECTOR
1900 W MINERS DR
DUNLAP IL 61525

Officer/Director/Trustee Two

FLOURICE RICHARDSON
CHIEF FINANCIAL OFFICER
201 REEVESTON DR
BLOOMINGTON IL 61705

Officer/Director/Trustee Three

LYNDA BAKER
INTERIM CHAIRMAN OF THE BOARD
1634 XERXES AVE
MINNEAPOLIS MN 55419

Organization’s website
Organization’s email REVJMOODY@GRACEDCME.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/25/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 Yes
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 Yes
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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