FORM 1023-EZ for ANDREW GOBCZYNSKI BIG HEART FOUNDATION INCORPORATED
| Field | Data |
|---|---|
| EIN | 47-4587792 |
| Case Number | EO-2015205-000482 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | ANDREW GOBCZYNSKI BIG HEART FOUNDATION INCORPORATED |
| Organization’s Mailing Address | 11123 EAST LINCOLNSHIRE LANE |
| City | EFFINGHAM |
| State | IL |
| ZIP | 62401 |
| Accounting period End | 6 |
| Primary contact name | STEPHANIE UEBINGER |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
STEPHANIE UEBINGER
MRS.
11123 EAST LINCOLNSHIRE LANE
EFFINGHAM IL 62401
Officer/Director/Trustee Two
GREG UEBINGER
DR.
11123 EAST LINCOLNSHIRE LANE
EFFINGHAM IL 62401
Officer/Director/Trustee Three
JUDY BLOEMER
MRS.
12259 NORTH 1650TH STREET
TEUTOPOLIS IL 62467
Officer/Director/Trustee Four
BILLI JANSEN
MRS.
405 SANTA BARBARA
EFFINGHAM IL 62401
Officer/Director/Trustee Five
PATTY CRAWFORD
MRS.
15561 NORTH 1700TH STREET
TEUTOPOLIS IL 62467
| Organization’s website | |
|---|---|
| Organization’s email | STEPHUEBINGER@GMAIL.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 7/15/2015 |
| Organization Incorporation State | IL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | W12 - 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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