FORM 1023-EZ for OPERATION SECRET SANTA

Field Data
EIN 81-4312085
Case Number EO-2016309-000258
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name OPERATION SECRET SANTA
Organization’s Mailing Address PO BOX 403
City SULLIVAN
State IL
ZIP 61951
Accounting period End 6
Primary contact name JUDTINE BREWER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

GREGG FOSTER
PRESIDENT
402 W ADAMS
SULLIVAN IL 61951

Officer/Director/Trustee Two

JUSTINE BREWER
SECRETARY
2 HICKORY STREET
BETHANY IL 61914

Officer/Director/Trustee Three

DIANE WAGGONER
TREASURER
48 ROLEY ESTATES
SULLIVAN IL 61951

Officer/Director/Trustee Four

MARK BREWER
DIRECTOR
2 HICKORY STREET
BETHANY IL 61914

Officer/Director/Trustee Five

CHERYL THOMAS
DIRECTOR
3 EASTLAWN DRIVE
SULLIVAN IL 61951

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/1/2000
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P30 - Children's, Youth Services
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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