FORM 1023-EZ for CORNERSTONE FARMS INC

Field Data
EIN 37-1916088
Case Number EO-2021243-000090
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CORNERSTONE FARMS INC
Organization’s Mailing Address 1729 STATE ROUTE 4
City ST JACOB
State IL
ZIP 62281
Accounting period End 12
Primary contact name MATTHEW BELZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID HENDRICK
PRESIDENT
1729 STATE ROUTE 4
ST JACOB IL 62281

Officer/Director/Trustee Two

JULIE TUCKER
SECRETARY
1929 NOWAK AVE
THOUSAND HILLS CA 91360

Officer/Director/Trustee Three

ABIGAIL WHITT
BOARD MEMBER
2203 ARLINGTON TERRACE
ALEXANDRIA VA 22303

Officer/Director/Trustee Four

ANITA COLLINS
BOARD MEMBER
1221 COALFIELD RD
MIDLOTHIAN VA 23114

Officer/Director/Trustee Five

KEITH ROSS
BOARD MEMBER
1325 PARKVIEW MEADOWS DR
BALLWIN MO 63011

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/22/2018
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N69 - Equestrian, Riding
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAVID HENDRICK
Signature Title PRESIDENT
Signature Date 8/27/2021
EIN 37-1916088
Case Number EO-2018348-000127
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CORNERSTONE FARMS INC
Organization’s Mailing Address 1729 STATE ROUTE 4
City ST JACOB
State IL
ZIP 62281
Accounting period End 12
Primary contact name MATTHEW BELZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID HENDRICK
PRESIDENT
1729 STATE ROUTE 4
ST JACOB IL 62281

Officer/Director/Trustee Two

JULIE TUCKER
SECRETARY
1929 NOWAK AVE
THOUSAND HILLS CA 91360

Officer/Director/Trustee Three

ABIGAIL WHITT
BOARD MEMBER
2203 ARLINGTON TERRACE
ALEXANDRIA VA 22303

Officer/Director/Trustee Four

ANITA COLLINS
BOARD MEMBER
1221 COALFIELD RD
MIDLOTHIAN VA 23114

Officer/Director/Trustee Five

KEITH ROSS
BOARD MEMBER
1325 PARKVIEW MEADOWS DR
BALLWIN MO 63011

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/22/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N69 - Equestrian, Riding
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 Yes
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 DAVID HENDRICK
Signature Title PRESIDENT
Signature Date 12/12/18

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