FORM 1023-EZ for MICHAEL AND THERESA COMMUNITY WELLS

Field Data
EIN 83-4295767
Case Number EO-2019149-000130
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MICHAEL AND THERESA COMMUNITY WELLS
Organization’s Mailing Address 208 N PINE STREET
City VILLA GROVE
State IL
ZIP 61956
Accounting period End 12
Primary contact name ALOYSIUS NDEANAEFO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ALOYSIUS NDEANAEFO
PRESIDENT, DIRECTOR
208 N PINE STREET
VILLA GROVE IL 61956

Officer/Director/Trustee Two

ROBERT PHILLIPS
VICE PRESIDENT, DIRECTOR
5 WESTERN DRIVE
DECATUR IL 62521

Officer/Director/Trustee Three

ANNETTE PHILLIPS
SECRETARY, TREASURER, DIRECTOR
5 WESTERN DRIVE
DECATUR IL 62521

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/3/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q30 - International Development, Relief Services
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 Yes
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity No
Disaster relief assistance No
One Third Support Public Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ALOYSIUS NDEANAEFO
Signature Title PRESIDENT, DIRECTOR
Signature Date 5/27/19

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