FORM 1023-EZ for FRESH START OF JACKSONVILLE

Field Data
EIN 84-4797675
Case Number EO-2020106-000081
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRESH START OF JACKSONVILLE
Organization’s Mailing Address 136 W CHAMBERS ST
City JACKSONVILLE
State IL
ZIP 62650
Accounting period End 12
Primary contact name DAN THOMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAN THOMPSON
PRESIDENT/DIRECTOR
136 W CHAMBERS
JACKSONVILLE IL 62650

Officer/Director/Trustee Two

LARRY WHEWELL
VICE PRESIDENT/DIRECTOR
912 CORONADO
JACKSONVILLE IL 62650

Officer/Director/Trustee Three

ANTHONY CRISS
TREASURER/DIRECTOR
620 JORDAN
JACKSONVILLE IL 62650

Officer/Director/Trustee Four

GEORGE HULL
DIRECTOR
1613 SUGAR HOLLOW ROAD
JACKSONVILLE IL 62650

Officer/Director/Trustee Five

GEORGE HULL
DIRECTOR
1613 SUGAR HOLLOW ROAD
JACKSONVILLE IL 62650

Organization’s website
Organization’s email DMT031073@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/7/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
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 DAN THOMPSON
Signature Title PRESIDENT
Signature Date 4/13/2020

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