FORM 1023-EZ for QUAD CITY COMMUNITY DEVELOPMENT CENTER

Field Data
EIN 27-3353034
Case Number EO-2015189-000207
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name QUAD CITY COMMUNITY DEVELOPMENT CENTER
Organization’s Mailing Address PO BOX 37
City MADISON
State IL
ZIP 62060
Accounting period End 12
Primary contact name YOLANDA CROCHRELL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JUAN CONWAY
PRESIDENT
2230 DEER SPRING TRAIL
BELLEVILLE IL 62221

Officer/Director/Trustee Two

YOLANDA CROCHRELL
DIRECTOR
1818 AUGUSTA TRAIL
EDWARDSVILLE IL 62025

Officer/Director/Trustee Three

WENDELL WILSON
TREASURER
3426 VICKSBURG DRIVE
EDWARDSVILLE IL 62025

Officer/Director/Trustee Four

ROUZELL PORTER
TRUSTEE
2614 HILLCREST AVENUE
ALTON IL 62002

Organization’s website WWW.QCCDC.ORG
Organization’s email DIRECTOR@QCCDC.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/16/2010
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X99 - Religion Related, Spiritual Development N.E.C.
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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