FORM 1023-EZ for GUARDIANS OF THE CHILDREN ILLINOIS

Field Data
EIN 26-4722672
Case Number EO-2018243-000342
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GUARDIANS OF THE CHILDREN ILLINOIS
Organization’s Mailing Address 1209 S MASON
City BLOOMINGTON
State IL
ZIP 61701
Accounting period End 12
Primary contact name EDWARD J MOORE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

EDWARD MOORE
CHIEF OPERATING OFFICER/DIRECTOR
1209 S MASON
BLOOMINGTON IL 61701

Officer/Director/Trustee Two

DONA MODRZYNSKI
CHAIRPERSON/DIRECTOR
6811 WURZBACH
SAN ANTONIO TX 78240

Officer/Director/Trustee Three

BRANDY JOHNSON
TREASURER/DIRECTOR
605 S PINE
ATLANTA IL 61723

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/19/09
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I72 - Child Abuse, Prevention of
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 EDWARD MOORE
Signature Title CHIEF OPERATING OFFICER/DIRECTOR
Signature Date 8/29/18

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