FORM 1023-EZ for MACOUPIN COUNTY CEO PROGRAM

Field Data
EIN 47-4052623
Case Number EO-2016190-000280
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MACOUPIN COUNTY CEO PROGRAM
Organization’s Mailing Address 34 SONEMANN STREET
City CARLINVILLE
State IL
ZIP 62626-1767
Accounting period End 12
Primary contact name RICHARD C WALDEN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GARY GRAHAM
TREASURER
18246 GARNET RD
CARLINVILLE IL 62626

Officer/Director/Trustee Two

JAMES SALSKE
VICE-PRESIDENT
12846 QUARRY TRAIL
CARLINVILLE IL 62626

Officer/Director/Trustee Three

JOHN RICHARD SCHIEN
PRESIDENT
13034 PRAIRIE TRAIL
CARLINVILLE IL 62626

Officer/Director/Trustee Four

NANCY RUYLE
SECRETARY
19871 TIMBERED ESTATES LANE
CARLINVILLE IL 62626

Officer/Director/Trustee Five

RICHARD WALDEN
DIRECTOR
34 SONEMANN STREET
CARLINVILLE IL 62626-1767

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/16/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 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 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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