FORM 1023-EZ for THE ROY L HERTEL FOUNDATION FOR BETTER COMMUNITIES

Field Data
EIN 84-2942409
Case Number EO-2019310-000092
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name THE ROY L HERTEL FOUNDATION FOR BETTER COMMUNITIES
Organization’s Mailing Address 28 HILLTOP DRIVE
City HILLSBORO
State IL
ZIP 62049
Accounting period End 8
Primary contact name JAMES HERTEL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES HERTEL
CHAIRMAN & CHIEF EXECUTIVE OFFICER
15617 VILLAGE COVE PLACE
HAYMARKET VA 20169

Officer/Director/Trustee Two

NICHOLE HERTEL
CHIEF OPERATING OFFICER
15617 VILLAGE COVE PLACE
HAYMARKET VA 20169

Officer/Director/Trustee Three

ROBERT ALBRACHT
SECRETARY
532 LAKESIDE KNOLLS DRIVE
HILLSBORO IL 62049

Officer/Director/Trustee Four

TIMOTHY HOPPER
TREASURER
630 FAIRMONT PLACE
HILLSBORO IL 62049

Officer/Director/Trustee Five

NANCI HERTEL
REGISTERED AGENT
28 HILLTOP DRIVE
HILLSBORO IL 62049

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/2/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S20 - Community, Neighborhood Development, Improvement (General)
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 Yes
Conducting Activities Outside of United States No
Financial transactions with officers No
Unrelated Gross Income $1,000 or More No
Gaming Activity Yes
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 JAMES HERTEL
Signature Title CHAIRMAN & CHIEF EXECUTIVE OFFICER
Signature Date 11/4/19

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