FORM 1023-EZ for CHAD WILSON MEMORIAL FOUNDATION

Field Data
EIN 47-4724942
Case Number EO-2015267-000370
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHAD WILSON MEMORIAL FOUNDATION
Organization’s Mailing Address 406 N 4TH ST PO BOX 53
City CUBA
State IL
ZIP 61427
Accounting period End 12
Primary contact name HEIDI R WILSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

HEIDI WILSON
PRESIDENT
406 N 4TH ST
CUBA IL 61427

Officer/Director/Trustee Two

VALERIE WILSON
TREASURER
5287 E TARTERS FERRY LN
SMITHFIELD IL 61477

Officer/Director/Trustee Three

BRIAN WILSON
DIRECTOR
5287 E TARTERS FERRY LN
SMITHFIELD IL 61477

Officer/Director/Trustee Four

JENNIFER PROBYN
SECRETARY
5287 E TARTERS FERRY LN
SMITHFIELD IL 61477

Officer/Director/Trustee Five

MARIE MCCOMBS
DIRECTOR
18718 N IL 97 HWY
CUBA IL 61427

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/23/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B12 - 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
Signature Title
Signature Date

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