FORM 1023-EZ for ANCIENT OAKS FOUNDATION

Field Data
EIN 47-1766283
Case Number EO-2014274-000147
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANCIENT OAKS FOUNDATION
Organization’s Mailing Address 52 ROBERTSON ROAD
City LAKE ZURICH
State IL
ZIP 60047-2262
Accounting period End 12
Primary contact name JUDITH THODE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JUDITH THODE
DIRECTOR
52 ROBERTSON ROAD
LAKE ZURICH IL 60047-2262

Officer/Director/Trustee Two

MARY MIHELIC
DIRECTOR
122 KINCAID AVE
LAKE ZURICH IL 60047-2262

Officer/Director/Trustee Three

JOHN MIHELIC
DIRECTOR
122 KINCAID AVE
LAKE ZURICH IL 60047-2262

Officer/Director/Trustee Four

MARY KOZUB
DIRECTOR
280 PEBBLECREEK
LAKE ZURICH IL 60047-2262

Officer/Director/Trustee Five

JOHN THODE
DIRECTOR
52 ROBERTSON ROAD
LAKE ZURICH IL 60047-2262

Organization’s website N/A
Organization’s email JKTHODE@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/31/2014
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C30 - Natural Resources Conservation and Protection
Organization’s purpose Charitable: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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