FORM 1023-EZ for JIMMY AND ROSEMARY COX FOUNDATION

Field Data
EIN 83-2852273
Case Number EO-2019182-000467
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JIMMY AND ROSEMARY COX FOUNDATION
Organization’s Mailing Address PO BOX 339
City FA
State IL
ZIP 62821
Accounting period End 6
Primary contact name KENT E REEVES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW L MCCARTHY
CHAIRMAN
1220 E MAIN ST SUITE D
CARMI IL 62821

Officer/Director/Trustee Two

SANDRA VANDEVEER
SECRETARY
1512 CUMBERLAND DR
FAIRFIELD IL 62837

Officer/Director/Trustee Three

KENT REEVES
TREASURER
101 E DELAWARE STE B
FAIRFIELD IL 62837-339

Officer/Director/Trustee Four

CONNIE MCGOWEN
DIRECTOR
1084 COUNTY HIGHWAY 1
FAIRFIELD IL 62837

Officer/Director/Trustee Five

ANGIE KOONTZ
DIRECTOR
220 E MAIN ST
FAIRFIELD IL 62837

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/20/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B82 - Scholarships, Student Financial Aid Services, Awards
Organization’s purpose Charitable: Yes
Religious: Yes
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 KENT REEVES
Signature Title TREASURER
Signature Date 6/27/19

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