FORM 1023-EZ for HORNETS NEST

Field Data
EIN 47-4874772
Case Number EO-2016188-000231
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HORNETS NEST
Organization’s Mailing Address 13088 N CO HWY 34
City TABLE GROVE
State IL
ZIP 61482
Accounting period End 12
Primary contact name BRECKEN REIMOLDS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BRECKEN REIMOLDS
SECRETARY
13088 N CO HWY 34
TABLE GROVE IL 61482

Officer/Director/Trustee Two

BOBBI PETERS
PRESIDENT
17868 N LAFARY LN
TABLE GROVE IL 61482

Officer/Director/Trustee Three

MICHAEL STRODE
VICE PRESIDENT
408 W MAIN ST
TABLE GROVE IL 61482

Officer/Director/Trustee Four

BRANDI HOOD
TREASURER
471 E BROADWAY
IPAVA IL 61441

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/24/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 Yes
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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