FORM 1023-EZ for JIM HAYES MEMORIAL INC

Field Data
EIN 81-3115419
Case Number EO-2019087-000480
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name JIM HAYES MEMORIAL INC
Organization’s Mailing Address 10998 LINDEN BLOSSOM LN
City ROSCOE
State IL
ZIP 61073
Accounting period End 12
Primary contact name JEREMY SATHER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JEREMY SATHER
DIRECTOR
10998 LINDEN BLOSSOM LANE
ROSCOE IL 61073

Officer/Director/Trustee Two

MICHELE SATHER
OFFICER
10998 LINDEN BLOSSOM LN
ROSCOE IL 61073

Officer/Director/Trustee Three

MATTHEW STROTHOFF
TRUSTEE
386 AMY CT
GLENNELLYN IL 60137

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/11/16
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B40 - Higher Education Institutions
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 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JEREMY SATHER
Signature Title DIRECTOR
Signature Date 3/26/19

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