FORM 1023-EZ for INSTITUTE FOR COMMUNITY AT HAYDEN CANYON INC

Field Data
EIN 46-1394710
Case Number EO-2018255-000255
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name INSTITUTE FOR COMMUNITY AT HAYDEN CANYON INC
Organization’s Mailing Address 175 HIGHPOINT DR
City ROMEOVILLE
State SC
ZIP 60466
Accounting period End 12
Primary contact name WAGENMAKER AND OBERLY LLC
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MICHAEL VICKERY
PRESIDENT / DIRECTOR
175 HIGHPOINT DR
ROMEOVILLE IL 60466

Officer/Director/Trustee Two

GLEN LANKER
SECRETARY / DIRECTOR
175 HIGHPOINT DR
ROMEOVILLE IL 60466

Officer/Director/Trustee Three

MICHAEL KING
DIRECTOR
175 HIGHPOINT DR
ROMEOVILLE IL 60466

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/14/12
Organization Incorporation State ID
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: Yes
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 MICHAEL VICKERY
Signature Title PRESIDENT / DIRECTOR
Signature Date 9/10/18
EIN 46-1394710
Case Number EO-2015274-000345
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name INSTITUTE FOR COMMUNITY AT HAYDEN CANYON INC
Organization’s Mailing Address 175 HIGHPOINT DRIVE
City ROMEOVILLE
State IL
ZIP 60466
Accounting period End 12
Primary contact name WAGENMAKER AND OBERLY LLC
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL VICKERY
PRESIDENT/DIRECTOR
17104 PARKER RD
HOMER GLEN IL 60491

Officer/Director/Trustee Two

GLEN LANKER
SECRETARY/DIRECTOR
1029 E SHADOW WOOD LN
COEUR D'ALENE ID 83815

Officer/Director/Trustee Three

MICHAEL KING
DIRECTOR
5951 SILVER PINE CT
COEUR D'ALENE ID 83815

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/14/2012
Organization Incorporation State ID
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: Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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