FORM 1023-EZ for FAIRBURY YACHT CLUB NFP

Field Data
EIN 84-4718487
Case Number EO-2020111-000198
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FAIRBURY YACHT CLUB NFP
Organization’s Mailing Address 606 WEST OAK STREET
City FAIRBURY
State IL
ZIP 61739
Accounting period End 12
Primary contact name MARK COLEMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

RICHARD HORNICKEL
PRESIDENT
101 E COLUMBIA DRIVE
FAIRBURY IL 61739

Officer/Director/Trustee Two

MIKE PETERS
VICE PRESIDENT
543 S FIFTH STREET
FAIRBURY IL 61379

Officer/Director/Trustee Three

COLLEEN HORNICKEL
SECRETARY
101 E COLUMBIA DRIVE
FAIRBURY IL 61739

Officer/Director/Trustee Four

TRISH PETERS
TREASURER
543 S FIFTH STREET
FAIRBURY IL 61739

Officer/Director/Trustee Five

JAMES TRIBLEY
CHIEF SECURITY OFFICER
605 E ELM STREET
FAIRBURY IL 61739

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/5/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T31 - Community Foundations
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name RICHARD HORNICKEL
Signature Title PRESIDENT
Signature Date 4/16/2020

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