FORM 1023-EZ for BETTER WORLD FUND UNA USA SOUTHERN ILLINOIS CHAPTER

Field Data
EIN 27-0582901
Case Number EO-2016321-000337
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name BETTER WORLD FUND UNA USA SOUTHERN ILLINOIS CHAPTER
Organization’s Mailing Address 40 PIN OAK CIRCLE
City MURPHYSBORO
State IL
ZIP 62966-6038
Accounting period End 12
Primary contact name CINDY BUYS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CINDY BUYS
PRESIDENT
40 PIN OAK CIRCLE
MURPHYSBORO IL 62966-6038

Officer/Director/Trustee Two

PHILLIP EBERLE
SECRETARY
112 NORTH LARK LANE
CARBONDALE IL 62901-2017

Officer/Director/Trustee Three

JOHN ROOSEVELT
TREASURER
234 CRAFT LANE
CARBONDALE IL 62901-7738

Officer/Director/Trustee Four

ELAINE JURKOWSKI
MEMBERSHIP CHAIR
875 SOUTH NORMAL LANE M/C 4329
CARBONDALE IL 62901

Organization’s website WWW.UNAUSA.ORG/MEMBERSHIP/DIRECTORY/CHAPTER/SOUTHERN-ILLINOIS
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/13/2011
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code Q42 - United Nations Association
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 Yes
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 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
Signature Title
Signature Date

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