FORM 1023-EZ for ANN T HAVEY FOUNDATION

Field Data
EIN 82-0670801
Case Number EO-2017082-000333
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ANN T HAVEY FOUNDATION
Organization’s Mailing Address 2537 CHARLACK AVE
City SPRINGFIELD
State IL
ZIP 62704-4170
Accounting period End 12
Primary contact name TIMOTHY HAVEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MEREDITH VOLLE
PRESIDENT
701 S COLUMBIA
SPRINGFIELD IL 62703

Officer/Director/Trustee Two

MARTHA HAVEY
SECRETARY
2537 CHARLACK AVE
SPRINGFIELD IL 62704-4170

Officer/Director/Trustee Three

SUZANNE HAVEY
TREASURER
4101 FIELDING DR
SPRINGFIELD IL 62711-4000

Officer/Director/Trustee Four

TIMOTHY HAVEY
TRUSTEE
2537 CHARLACK AVE
SPRINGFIELD IL 62704-4170

Officer/Director/Trustee Five

PETER HAVEY
TRUSTEE
4101 FIELDING DR
SPRINGFIELD IL 62711-4000

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/1/2017
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 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
Signature Title
Signature Date

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