FORM 1023-EZ for MATTOON GOLF & COUNTRY CLUB HISTORICAL PRESERVATION FOUNDATION INC

Field Data
EIN 85-3734086
Case Number EO-2020314-000559
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MATTOON GOLF & COUNTRY CLUB HISTORICAL PRESERVATION FOUNDATION INC
Organization’s Mailing Address 80 BROADWAY AVE STE 102
City MATTOON
State IL
ZIP 61938
Accounting period End 12
Primary contact name TAMI KNIGHT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ERIK VANHOVELN
PRESIDENT
28 FAIRWAY LANE
MATTOON IL 61938

Officer/Director/Trustee Two

ROB LUSSENHOP
SECRETARY
4899 LAKE ROAD
MATTOON IL 61938

Officer/Director/Trustee Three

TAMI KNIGHT
TREASURER
1713 BROADMOOR
MATTOON IL 61938

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/3/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A80 - Historical Societies, Related Historical Activities
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 TAMI KNIGHT
Signature Title TREASURER
Signature Date 11/6/2020

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