FORM 1023-EZ for CLINTON COUNTY SNACK PACK PROGRAM

Field Data
EIN 84-3913598
Case Number EO-2019352-000268
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CLINTON COUNTY SNACK PACK PROGRAM
Organization’s Mailing Address 904 PEACH STREET
City NEW BADEN
State IL
ZIP 62265
Accounting period End 12
Primary contact name JENNIFER THOMPSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER THOMPSON
PRESIDENT& BOARD OF DIRECTOR
904 PEACH STREET
NEW BADEN IL 62265

Officer/Director/Trustee Two

RON TREMMEL
TREASURER & BOARD OF DIRECTOR
515 N PIN OAK
TRENTON IL 62293

Officer/Director/Trustee Three

MARGARET HELLIGE
SECRETARY & BOARD OF DIRECTOR
375 N 11TH STREET
BREESE IL 62230

Officer/Director/Trustee Four

LUANE GRABER
BOARD OF DIRECTOR
9634 FIELDCREST PLACE
BREESE IL 62230

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/14/2019
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K30 - Food Service, Free Food Distribution Programs
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 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 JENNIFER THOMPSON
Signature Title PRESIDENT& BOARD OF DIRECTOR
Signature Date 12/16/2019

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