FORM 1023-EZ for MOMENCE YOUTH CENTER

Field Data
EIN 46-4019668
Case Number EO-2015042-000025
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MOMENCE YOUTH CENTER
Organization’s Mailing Address 116 E WASHINGTON ST
City MOMENCE
State IL
ZIP 60954
Accounting period End 12
Primary contact name TERRY SPENCER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TERRY SPENCER
DIRECTOR
16129 E 5000 N RD
MOMENCE IL 60954-4100

Officer/Director/Trustee Two

MICHAEL ZICKMUND
DIRECTOR
528 W WASHINGTON
MOMENCE IL 60954-1428

Officer/Director/Trustee Three

SHERRY SPENCER
DIRECTOR
16129 E 5000 N RD
MOMENCE IL 60954-4100

Officer/Director/Trustee Four

MARSHA MYERS
DIRECTOR
630 N DIXIE HWY
MOMENCE IL 60954-1226

Organization’s website
Organization’s email TERRYS209@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/28/2013
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O55 - Youth Development - Religious Leadership
Organization’s purpose Charitable: No
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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