FORM 1023-EZ for SUBLETTE 365

Field Data
EIN 46-3807614
Case Number EO-2016138-000526
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUBLETTE 365
Organization’s Mailing Address 200 EAST MAIN BOX 511
City SUBLETTE
State IL
ZIP 61367-9450
Accounting period End 12
Primary contact name NICHOLAS CHAON DINGES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

NICHOLAS DINGES
PRESIDENT; DIRECTOR
200 EAST MAIN
SUBLETTE IL 61367-9450

Officer/Director/Trustee Two

CATHERINE KLEIN
TREASURER; DIRECTOR
301 WEST MAIN STREET
SUBLETTE IL 61367-9450

Officer/Director/Trustee Three

DAVID LEFFELMAN
SECRETARY; DIRECTOR
791 BURKHARDT ROAD
WEST BROOKLYN IL 61378-9763

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/17/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
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 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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