FORM 1023-EZ for PIATT COUNTY TRAIL BLAZERS FOUNDATION NFP

Field Data
EIN 84-2812086
Case Number EO-2019246-000086
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PIATT COUNTY TRAIL BLAZERS FOUNDATION NFP
Organization’s Mailing Address 1903 N OLD ROUTE 47
City MONTICELLO
State IL
ZIP 61856
Accounting period End 12
Primary contact name KELLY R FINET
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JOCELYN HILGENBERG
PRESIDENT
504 COUNTY FARM RD
MONTICELLO IL 61856

Officer/Director/Trustee Two

LINDA DYSON
VICE PRESIDENT
318 E 1700 N COUNTY RD
MONTICELLO IL 61856

Officer/Director/Trustee Three

HOLLY MILLER
SECRETARY
1196 E OLD ROUTE 47
MONTICELLO IL 61856

Officer/Director/Trustee Four

GINA ALLEN
TREASURE
5 FOOTHILL RD
MONTICELLO IL 61856

Organization’s website WWW.PCTRAILBLAZERS.ORG
Organization’s email CONTACT@PCTRAILBLAZERS.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/22/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 GINA ALLEN
Signature Title TREASURE
Signature Date 8/29/19

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