FORM 1023-EZ for PANA QUARTERBACK CLUB

Field Data
EIN 85-1516733
Case Number EO-2020178-000314
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PANA QUARTERBACK CLUB
Organization’s Mailing Address PO BOX 403
City PANA
State IL
ZIP 62557
Accounting period End 12
Primary contact name JOSHUA ISHMAEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROBERT CLOE
PRESIDENT
636
OCONEE IL 62553

Officer/Director/Trustee Two

MATTHEW MORRELL
VICE PRESIDENT
561 NORTH 1900 EAST ROAD
PANA IL 62557

Officer/Director/Trustee Three

CHRISTINA NOLLMAN
SECRETARY
2085 ILLINOIS ROUTE 16
PANA IL 62557

Officer/Director/Trustee Four

KIMBERLY OWENS
TREASURER
403 WEST THIRD
PANA IL 62557

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/18/2020
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 No
One Third Support Gifts Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name ROBERT CLOE
Signature Title PRESIDENT
Signature Date 6/24/2020

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