FORM 1023-EZ for MAX FOR KIDS

Field Data
EIN 82-1136555
Case Number EO-2017116-000223
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MAX FOR KIDS
Organization’s Mailing Address 11 JONES WAY
City WOOD RIVER
State IL
ZIP 62095
Accounting period End 12
Primary contact name THOMAS MAXWELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

THOMAS MAXWELL
DIRECTOR
11 JONES WAY
WOOD RIVER IL 62095

Officer/Director/Trustee Two

VICKIE MAXWELL
DIRECTOR
11 JONES WAY
WOOD RIVER IL 62095

Officer/Director/Trustee Three

NICK SMITH
DIRECTOR
21 ROB LAKE COURT
BETHALTO IL 62010

Officer/Director/Trustee Four

DAN SMITH
DIRECTOR
318 WEST MAIN
BETHALTO IL 62010

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/10/2017
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N30 - Physical Fitness and Community Recreational Facilities
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 Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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