FORM 1023-EZ for CHRISMAN AREA COMMUNITY CLUB

Field Data
EIN 50-0630359
Case Number EO-2016098-000271
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHRISMAN AREA COMMUNITY CLUB
Organization’s Mailing Address 18644 US HWY 36
City CHRISMAN
State IL
ZIP 61924
Accounting period End 12
Primary contact name JEFFRY VOIGT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JEFFRY VOIGT
PRESIDENT
18644 US HWY 36
CHRISMAN IL 61924

Officer/Director/Trustee Two

JOE HOULT
VICE PRESIDENT
221 N VERMONT
CHRISMAN IL 61924

Officer/Director/Trustee Three

DIANE WILLIAMS
SECRETARY
24427 N 1900TH
CHRISMAN IL 61924

Officer/Director/Trustee Four

CAROL YAW
TREASURER
712 E MONROE
CHRISMAN IL 61924

Officer/Director/Trustee Five

DUANE FIDLER
DIRECTOR
315 N VERMONT
CHRISMAN IL 61924

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2005
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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
Signature Title
Signature Date

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