FORM 1023-EZ for METAMORA PARK FOUNDATION

Field Data
EIN 47-5259734
Case Number EO-2015282-000370
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name METAMORA PARK FOUNDATION
Organization’s Mailing Address 717 W MT VERNON ST
City METAMORA
State IL
ZIP 61548
Accounting period End 6
Primary contact name MICHELLE SPIELMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHELE LELM
DIRECTOR
PO BOX 87
METAMORA IL 61548

Officer/Director/Trustee Two

JULIE SPRINGER
DIRECTOR
1269 CEDAR LAKE DR
METAMORA IL 61548

Officer/Director/Trustee Three

DAVID BUSS
DIRECTOR
321 DANBURY LANE
METAMORA IL 61548

Officer/Director/Trustee Four

CHAD SCHIERER
DIRECTOR
210 N WASHINGTON
METAMORA IL 61548

Officer/Director/Trustee Five

MICHELLE SPIELMAN
TRUSTEE
805 CRESTVIEW DR
METAMORA IL 61548

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/19/2014
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N32 - Parks and Playgrounds
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
Signature Title
Signature Date

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