FORM 1023-EZ for FOUNDATION 6141

Field Data
EIN 85-2889798
Case Number EO-2021056-000207
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FOUNDATION 6141
Organization’s Mailing Address 411 N MOORE ST
City WATERLOO
State IL
ZIP 62298-1130
Accounting period End 12
Primary contact name WHITNEY M HOPKINS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WHITNEY HOPKINS
DIRECTOR, PRESIDENT
411 N MOORE ST
WATERLOO IL 62298-1130

Officer/Director/Trustee Two

CASEY FARES
DIRECTOR, VICE PRESIDENT
2604 AMBRIDGE DR
BELLEVILLE IL 62221-3547

Officer/Director/Trustee Three

SHANNON GRAHAM
DIRECTOR, SECRETARY
822 RC CARDINAL LANE
GREENVILLE IL 62246-3332

Officer/Director/Trustee Four

ERIN SHOOK
DIRECTOR, TREASURER
3831 HIGH PRAIRIE SCHOOL
BELLEVILLE IL 62220-5517

Officer/Director/Trustee Five

ABBY BUETTNER
DIRECTOR
637 NORTH BRIEGEL ST
COLUMBIA IL 62236-1639

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/28/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 Yes
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 WHITNEY HOPKINS
Signature Title DIRECTOR, PRESIDENT
Signature Date 1/7/2021

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