FORM 1023-EZ for JACKSONVILLE CIVIC CENTER

Field Data
EIN 87-1001695
Case Number EO-2021168-000221
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JACKSONVILLE CIVIC CENTER
Organization’s Mailing Address 857 WEST STATE STREET 2ND FLOOR
City JACKSONVILLE
State IL
ZIP 62650-1983
Accounting period End 12
Primary contact name DR SUSAN WELLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN WELLER
PRESIDENT
857 WEST STATE 2ND FLOOR
JACKSONVILLE IL 62650-1983

Officer/Director/Trustee Two

JOSHUA MARIAGE
TREASURER
729 WEST STATE STREET
JACKSONVILLE IL 62650-1942

Officer/Director/Trustee Three

SONDRA SMITH
SECRETARY
166 LABOR DRIVE
SOUTH JACKSONVILLE IL 62650-3506

Organization’s website WWW.JAXCIVIC.ORG
Organization’s email DENTIST1982@LIVE.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/9/2021
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
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 SUSAN WELLER
Signature Title PRESIDENT
Signature Date 6/15/2021

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