FORM 1023-EZ for CREATIVE BLESSINGS MORE

Field Data
EIN 81-1211253
Case Number EO-2016040-000317
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CREATIVE BLESSINGS MORE
Organization’s Mailing Address 4 ORCHARD DRIVE
City CAMARGO
State IL
ZIP 61919
Accounting period End 12
Primary contact name PAMELA DUTTON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SHARON JARBOE
PRESIDENT
4 ORCHARD DRIVE
CAMARGO IL 61919

Officer/Director/Trustee Two

PAMELA DUTTON
TREASURER
105 DOUGLAS DRIVE
TUSCOLA IL 61953

Officer/Director/Trustee Three

DIANE LEE
TRUSTEE
203 W GRAHAM
SAVOY IL 61874

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/17/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code I71 - Spouse Abuse, Prevention of
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 Yes
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
Signature Title
Signature Date

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