FORM 1023-EZ for THE 100 CLUB OF GRUNDY COUNTY NFP

Field Data
EIN 91-2199223
Case Number EO-2015226-000233
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE 100 CLUB OF GRUNDY COUNTY NFP
Organization’s Mailing Address 105 E MAIN STREET SUITE 206
City MORRIS
State IL
ZIP 60450-2138
Accounting period End 6
Primary contact name SCOTT BELT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SCOTT BELT
PRESIDENT
105 E MAIN STREET SUITE 206
MORRIS IL 60450-2138

Officer/Director/Trustee Two

JOANNE GRETENCORD
VICE PRESIDENT
201 W BOULDER
MORRIS IL 60450

Officer/Director/Trustee Three

SHIRLEY KISS
SECRETARY
425 MOOSEHEART DRIVE
MORRIS IL 60450

Officer/Director/Trustee Four

MICHAEL RITTOF
TREASURER
502 W MONDAMIN STREET
MINOOKA IL 60447

Officer/Director/Trustee Five

GENE FUNK
DIRECTOR
230 NETTLE STREET
MORRIS IL 60450

Organization’s website WWW.100CLUBOFGRUNDYCOUNTY.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/16/2003
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I60 - Law Enforcement Agencies (Police Departments)
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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