FORM 1023-EZ for SB CLARK FOUNDATION
| Field | Data |
|---|---|
| EIN | 84-2128572 |
| Case Number | EO-2019176-000211 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | SB CLARK FOUNDATION |
| Organization’s Mailing Address | 566 PRINCE EDWARD RD |
| City | GLEN ELLYN |
| State | IL |
| ZIP | 60137 |
| Accounting period End | 6 |
| Primary contact name | SARA BOUCEK |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
BRENT CLARK
PRESIDENT
20052 CORINTH RD
PITTSBURG IL 62974
Officer/Director/Trustee Two
KATHY CLARK
VICE PRESIDENT
20052 CORINTH RD
PITTSBURG IL 62974
Officer/Director/Trustee Three
SARA BOUCEK
SECRETARY/TREASURER
566 PRINCE EDWARD RD
GLEN ELLYN IL 60137
Officer/Director/Trustee Four
CHERRY MIDDLETON
DIRECTOR
1138 NORTH 19TH ST
SPRINGFIELD IL 62702
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 6/18/19 |
| 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: 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 | SARA BOUCEK |
| Signature Title | SECRETARY/TREASURER |
| Signature Date | 6/20/19 |
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