| Field | Data |
|---|---|
| EIN | 36-4285181 |
| Case Number | EO-2019210-000171 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | NORTHERN ILLINOIS COMMUNITY HEALTHFOUNDATION |
| Organization’s Mailing Address | 2842 LARK RISE |
| City | ROCKFORD |
| State | IL |
| ZIP | 61114-6628 |
| Accounting period End | 12 |
| Primary contact name | LARRY SWACINA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
PATRICIA LEWIS
PRESIDENT
2758 CRAMPTON LANE
ROCKFORD IL 61114
DEBORAH LISCHWE
SECRETARY
1696 HICKORY HILL
FREEPORT IL 61032
SANDRA MARTELL
EX OFFICIO
6313 WHITE BERRY LANE
LOVES PARK IL 61111
MAICHLE BACON
VICE-PRESIDENT
2842 LARK RISE
ROCKFORD IL 61114-6628
LARRY SWACINA
TREASURER
12612 QUAIL RIDGE CLOSE
ROCKTON IL 61072-1819
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/12/99 |
| Organization Incorporation State | IL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E70 - Public Health Program (Includes General Health and Wellness Promotion Services) |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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 | Yes |
| Correctness Declaration | Yes |
| Signature Name | LARRY SWACINA |
| Signature Title | TREASURER |
| Signature Date | 7/25/19 |
| EIN | 36-4285181 |
| Case Number | EO-2019210-000171 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | NORTHERN ILLINOIS COMMUNITY HEALTH FOUNDATION |
| Organization’s Mailing Address | 2842 LARK RISE |
| City | ROCKFORD |
| State | IL |
| ZIP | 61114-6628 |
| Accounting period End | 12 |
| Primary contact name | LARRY SWACINA |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
PATRICIA LEWIS
PRESIDENT
2758 CRAMPTON LANE
ROCKFORD IL 61114
DEBORAH LISCHWE
SECRETARY
1696 HICKORY HILL
FREEPORT IL 61032
SANDRA MARTELL
EX OFFICIO
6313 WHITE BERRY LANE
LOVES PARK IL 61111
MAICHLE BACON
VICE-PRESIDENT
2842 LARK RISE
ROCKFORD IL 61114-6628
LARRY SWACINA
TREASURER
12612 QUAIL RIDGE CLOSE
ROCKTON IL 61072-1819
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/12/99 |
| Organization Incorporation State | IL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | E70 - Public Health Program (Includes General Health and Wellness Promotion Services) |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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 | Yes |
| Correctness Declaration | Yes |
| Signature Name | LARRY SWACINA |
| Signature Title | TREASURER |
| Signature Date | 7/25/19 |
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