FORM 1023-EZ for ZACHARY MAYFIELD FISHING FOUNDATION

Field Data
EIN 82-1911912
Case Number EO-2021063-000886
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ZACHARY MAYFIELD FISHING FOUNDATION
Organization’s Mailing Address 115 MILETREE RD
City EAST PEORIA
State IL
ZIP 61611
Accounting period End 12
Primary contact name HOWARD MAYFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HOWARD MAYFIELD
DIRECTOR
115 MILETREE RD
EAST PEORIA IL 61611

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/27/2017
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code C32 - Water Resource, Wetlands Conservation and Management
Organization’s purpose Charitable: No
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement Yes
Correctness Declaration Yes
Signature Name HOWARD MAYFIELD
Signature Title DIRECTOR
Signature Date 12/31/2020
EIN 82-1911912
Case Number EO-2017173-000306
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ZACHARY MAYFIELD FISHING FOUNDATION
Organization’s Mailing Address 115 MILETREE RD
City EAST PEORIA
State IL
ZIP 61611
Accounting period End 12
Primary contact name HOWARD MAYFIELD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HOWARD MAYFIELD
ADMINISTRATOR
115 MILE TREE ROAD
EAST PEORIA IL 61611

Officer/Director/Trustee Two

RHONDA DOERR
TREASURE
115 MILE TREE RD
EAST PEORIA IL 61611

Officer/Director/Trustee Three

JESSICA MAYFIELD
TRUSTEE
115 MILE TREE RD
EAST PEORIA IL 61611

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/20/2017
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O99 - Youth Development 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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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