FORM 1023-EZ for CATHYS COTTAGE

Field Data
EIN 84-2314450
Case Number EO-2019261-000145
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CATHYS COTTAGE
Organization’s Mailing Address 17163 E LIBERTY RD
City MT VERNON
State IL
ZIP 62864
Accounting period End 12
Primary contact name MATTHEW FLANIGAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARLA DONOHO
PRESIDENT & DIRECTOR
17163 E LIBERTY RD
MT. VERNON IL 62864

Officer/Director/Trustee Two

DANIEL NALLEY
VICE PRESIDENT & DIRECTOR
1201 PARTRIDGE PLACE
MT. VERNON IL 62864

Officer/Director/Trustee Three

LAURA HENSON
SECRETARY & DIRECTOR
20796 E IL HWY 15
BLUFORD IL 62814

Officer/Director/Trustee Four

JANETTA RIGHTNOWAR
DIRECTOR
PO BOX 1165
MT. VERNON IL 62864

Officer/Director/Trustee Five

CHARLES HALL
DIRECTOR
1400 S 24TH ST
MT. VERNON IL 62864

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L99 - Housing, Shelter N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name CARLA DONOHO
Signature Title PRESIDENT & DIRECTOR
Signature Date 9/16/19

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