FORM 1023-EZ for HACKSI INC

Field Data
EIN 81-4741976
Case Number EO-2019291-000305
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HACKSI INC
Organization’s Mailing Address 1117 N CARBON ST PMB 162
City MARION
State IL
ZIP 62959
Accounting period End 12
Primary contact name DAVID GLASS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID GLASS
PRESIDENT
1813 PAULA LANE
MARION IL 62959

Officer/Director/Trustee Two

L ANDERSEN LINDBERG
SECRETARY
1740 INNOVATION DR
CARBONDALE IL 62903

Officer/Director/Trustee Three

BONNIE KUCHARSKI
TREASURER
1075 REED STATION ROAD
CARBONDALE IL 62902

Officer/Director/Trustee Four

JACOB MORTON
VICE-PRESIDENT
1411 W MAIN ST
MARION IL 62959

Officer/Director/Trustee Five

ANDREW WILSON
DIRECTOR
1816 PAULA LANE
MARION IL 62959

Organization’s website HTTPS://WWW.HACKSI.ORG
Organization’s email CONTACT@HACKSI.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/20/16
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: 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 DAVID GLASS
Signature Title PRESIDENT
Signature Date 10/16/19

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