FORM 1023-EZ for INTERCHURCH COUNCIL OF BLUE MOUND-BOODY-STONINGTON

Field Data
EIN 47-1007606
Case Number EO-2014282-000450
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INTERCHURCH COUNCIL OF BLUE MOUND-BOODY-STONINGTON
Organization’s Mailing Address 100 SOUTH LEWIS STREET
City BLUE MOUND
State IL
ZIP 62513
Accounting period End 12
Primary contact name ELLEN MOMA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SALLY HAMON
PRESIDENT
6442 NEVADA ROAD
MACON IL 62544

Officer/Director/Trustee Two

JOANNE COFFEY
VICE PRESIDENT
211 N MAPLE STREET
STONINGTON IL 62567

Officer/Director/Trustee Three

RANDAL MYERS
SECRETARY
209 S COLLEGE STREET
BLUE MOUND IL 62513

Officer/Director/Trustee Four

ELLEN MOMA
TREASURER
100 S LEWIS STREET
BLUE MOUND IL 62513

Officer/Director/Trustee Five

KAREN WILSON
DIRECTOR FOOD PANTRY
1979 E 1700 NORTH ROAD
TAYLORVILLE IL 62568

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/1994
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K31 - Food Banks, Food Pantries
Organization’s purpose Charitable: Yes
Religious: Yes
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 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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