FORM 1023-EZ for ORPHAN GOLD HONEY INCORPORATED

Field Data
EIN 83-1274628
Case Number EO-2018229-000393
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name ORPHAN GOLD HONEY INCORPORATED
Organization’s Mailing Address 1201 ILLINI
City LOCKPORT
State IL
ZIP 60441-3801
Accounting period End 12
Primary contact name WILLIAM PASSAGLIA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM PASSAGLIA
PRESIDENT
1201 ILLINI DR
LOCKPORT IL 60441-3801

Officer/Director/Trustee Two

ANTHONY VESTAL
VICE PRESIDENT
15512 RIDGEFIELD
MANHATTAN IL 60442

Officer/Director/Trustee Three

JANE PASSAGLIA
SECRETARY
1201 ILLINI
LOCKPORT IL 60441-3801

Officer/Director/Trustee Four

SUE VESTAL
TREASURER
15512 RIDGEFIELD
MANHATTAN IL 60441

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/26/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: Yes
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 WILLIAM PASSAGLIA
Signature Title PRESIDENT
Signature Date 8/15/18

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