FORM 1023-EZ for COMMON GROUNDS INDUSTRIES NFP

Field Data
EIN 84-3653634
Case Number EO-2019329-000448
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name COMMON GROUNDS INDUSTRIES NFP
Organization’s Mailing Address 4000 NORTH MAIN ST
City EAST PEORIA
State IL
ZIP 61611
Accounting period End 12
Primary contact name MATTHEW ABRAHAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MATTHEW ABRAHAM
PRESIDENT, DIRECTOR
4000 NORTH MAIN ST
EAST PEORIA IL 61611

Officer/Director/Trustee Two

HEDY ELLIOTT-GARDNER
SECRETARY, DIRECTOR
3811 W PAGEWOOD
PEORIA IL 61615

Officer/Director/Trustee Three

VICKI WINN
TREASURER, DIRECTOR
1422 QUEENS CT
PEORIA IL 61614

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 MATTHEW ABRAHAM
Signature Title PRESIDENT, DIRECTOR
Signature Date 11/22/19

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