FORM 1023-EZ for MEN MACON A DIFFERENCE

Field Data
EIN 82-2759217
Case Number EO-2017271-000168
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name MEN MACON A DIFFERENCE
Organization’s Mailing Address 1675 W RIDLEN RD
City MACON
State IL
ZIP 62544
Accounting period End 12
Primary contact name MATTHEW S ROUSH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW ROUSH
PRESIDENT
1675 W RIDLEN RD
MACON IL 62544

Officer/Director/Trustee Two

DONALD KOEHLER JR
VICE PRESIDENT
780 W RIDLEN RD
MACON IL 62544

Officer/Director/Trustee Three

CALEB BEASLEY
TREASURER
292 W FRICK ST
MACON IL 62544

Officer/Director/Trustee Four

DANIEL NOLAND
SECRETARY
558 WALKER RD
MACON IL 62544

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2017
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: No
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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