FORM 1023-EZ for CIRCLE A SERVOLUTION INC

Field Data
EIN 84-4519868
Case Number EO-2020034-000219
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CIRCLE A SERVOLUTION INC
Organization’s Mailing Address 412 E MAIN ST
City ALLENDALE
State IL
ZIP 62410
Accounting period End 12
Primary contact name PEGGY HUGHES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

PEGGY HUGHES
DIRECTOR
412 E MAIN ST
ALLENDALE IL 62410

Officer/Director/Trustee Two

TOMMY HUGHES
DIRECTOR
412 E MAIN ST
ALLENDALE IL 62410

Officer/Director/Trustee Three

MELISSA SMITH
DIRECTOR
401 E OAK ST
ALLENDALE IL 62410

Officer/Director/Trustee Four

ROBERT SMITH
DIRECTOR
401 E OAK ST
ALLENDALE IL 62410

Organization’s website
Organization’s email PEGHUGHES69@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/30/2020
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 PEGGY HUGHES
Signature Title DIRECTOR
Signature Date 1/30/2020

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