FORM 1023-EZ for FRIENDS OF DOUGLAS PARK

Field Data
EIN 82-2777175
Case Number EO-2017261-000109
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name FRIENDS OF DOUGLAS PARK
Organization’s Mailing Address 1630 FIFTH AVENUE SUITE 300
City MOLINE
State IL
ZIP 61265
Accounting period End 12
Primary contact name JEFFREY D JACOBS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KEVIN CORRIGAN
PRESIDENT
2924 13TH AVENUE
ROCK ISLAND IL 61201

Officer/Director/Trustee Two

W GERARD HUISKAMP
VICE PRESIDENT
110 19TH STREET
ROCK ISLAND IL 61201

Officer/Director/Trustee Three

MICHAEL BELL
TREASURER
2109 23RD AVENUE
ROCK ISLAND IL 61201

Officer/Director/Trustee Four

BERNADETTE CARMACK
SECRETARY
4001 14TH STREET
ROCK ISLAND IL 61201

Officer/Director/Trustee Five

IVORY CLARK
DIRECTOR
626 10TH STREET
ROCK ISLAND IL 61201

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/20/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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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