FORM 1023-EZ for UC2B COMMUNITY FOUNDATION NFP

Field Data
EIN 84-3377087
Case Number EO-2019303-000447
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name UC2B COMMUNITY FOUNDATION NFP
Organization’s Mailing Address 30 E MAIN STREET STE 500
City CHAMPAIGN
State IL
ZIP 61820
Accounting period End 6
Primary contact name DAVID E KRCHAK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOHN KOONTZ
CHAIRMAN
719 FOLEY
CHAMPAIGN IL 61820

Officer/Director/Trustee Two

JASON BERG
VICE-CHAIRMAN
1109 S ORCHARD STREET
URBANA IL 61801

Officer/Director/Trustee Three

DENNIS SCHMIDT
SECRETARY
1802 CRESCENT DRIVE
CHAMPAIGN IL 61821

Officer/Director/Trustee Four

LESLIE LUNDY
TREASURER
1108 MAYFAIR ROAD
CHAMPAIGN IL 61821

Officer/Director/Trustee Five

PAUL HIXON
DIRECTOR
209 W INDIANA AVE
URBANA IL 61801

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/25/2019
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W50 - Telephone, Telegraph and Telecommunication Services
Organization’s purpose Charitable: No
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 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 JOHN KOONTZ
Signature Title CHAIRMAN
Signature Date 10/28/2019

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