FORM 1023-EZ for HENDRIX CENTER OF HOPE INC

Field Data
EIN 85-1623874
Case Number EO-2020188-000563
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HENDRIX CENTER OF HOPE INC
Organization’s Mailing Address 5566 LONGEST DRIVE
City SOUTH BELOIT
State IL
ZIP 61080-9255
Accounting period End 12
Primary contact name MICHAEL C DAVIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CARLOS HENDRIX
DIRECTOR/PRESIDENT
5566 LONGEST DRIVE
SOUTH BELOIT IL 61080-9255

Officer/Director/Trustee Two

WILLIAM WALKER
DIRECTOR
2227 ROBINSON DRIVE
BELOIT WI 53511-2525

Officer/Director/Trustee Three

RAMONE BROWN
DIRECTOR
802 MOORE STREET
BELOIT WI 53511-5038

Officer/Director/Trustee Four

TANYA KARL
DIRECTOR
1345 GRANT STREET
BELOIT WI 53511-3306

Officer/Director/Trustee Five

ERICK WILLIAMS
DIRECTOR
1990 COLONY COURT APT 11
BELOIT WI 53511-1836

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/15/2020
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N62 - Basketball
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 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 CARLOS HENDRIX
Signature Title DIRECTOR/PRESIDENT
Signature Date 7/2/2020

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