FORM 1023-EZ for NORTHWEST NEIGHBORHOOD COMMUNITY CENTER

Field Data
EIN 81-4007909
Case Number EO-2017082-000271
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NORTHWEST NEIGHBORHOOD COMMUNITY CENTER
Organization’s Mailing Address 400 UNION STREET
City BLOOMINGTON
State IL
ZIP 61701
Accounting period End 12
Primary contact name RACHELLE BAUER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RACHELLE BAUER
BOARD PRESIDENT
1208 LINDEN STREET
NORMAL IL 61761

Officer/Director/Trustee Two

LORI FULFER
BOARD MEMBER
8486 BLOOMING GROVE ROAD
BLOOMINGTON IL 61705

Officer/Director/Trustee Three

ALISHA HOWELL
BOARD MEMBER
1285 HEALING STONE COURT
NORMAL IL 61761

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/13/2017
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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
Signature Title
Signature Date

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