FORM 1023-EZ for POSITIVE IMPACT FOX VALLEY

Field Data
EIN 82-0673556
Case Number EO-2017130-000292
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name POSITIVE IMPACT FOX VALLEY
Organization’s Mailing Address 2917 TALAGA DRIVE
City ALGONQUIN
State IL
ZIP 60102
Accounting period End 12
Primary contact name KATHRYN REESE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SUSAN LUCIO
PRESIDENT
2917 TALAGA DRIVE
ALGONQUIN IL 60102

Officer/Director/Trustee Two

KENDRA KROISS
SECRETARY
146 RIVERWALK COURT
ELGIN IL 60120

Officer/Director/Trustee Three

KATHRYN REESE
TREASURER
12435 COPPER LANE
HUNTLEY IL 60142

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/26/2017
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S80 - Community Service Clubs
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: Yes
Public Safety: Yes
Amateur Sports: No
Cruelty Prevention: Yes
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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