FORM 1023-EZ for OPERATION BLACKHAWK

Field Data
EIN 83-2572551
Case Number EO-2019028-000188
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name OPERATION BLACKHAWK
Organization’s Mailing Address 109 S BANKER ST
City EFFINGHAM
State IL
ZIP 62401-1619
Accounting period End 12
Primary contact name BORIS BONUTTI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

BORIS BONUTTI
PRESIDENT/REGISTERED AGENT
109 S BANKER ST
EFFINGHAM IL 62401-1619

Officer/Director/Trustee Two

PAUL GUTMAN
TREASURER
109 S BANKER ST
EFFINGHAM IL 62401-1619

Officer/Director/Trustee Three

BOB LAKIN
DIRECTOR
109 S BANKER ST
EFFINGHAM IL 62401-1619

Officer/Director/Trustee Four

GREG SETTLES
DIRECTOR
109 S BANKER ST
EFFINGHAM IL 62401-1619

Officer/Director/Trustee Five

JEREMY WENTHE
SECRETARY
109 S BANKER ST
EFFINGHAM IL 62401-1619

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/29/17
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W30 - Military, Veterans' Organizations
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 BORIS BONUTTI
Signature Title PRESIDENT/REGISTERED AGENT
Signature Date 12/13/18

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