FORM 1023-EZ for 4-H FEDERATION FOUNDATION OF WILL COUNTY

Field Data
EIN 84-2742255
Case Number EO-2019350-000399
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name 4-H FEDERATION FOUNDATION OF WILL COUNTY
Organization’s Mailing Address 31526 SOUTH WILL CENTER ROAD
City PEOTONE
State IL
ZIP 60468
Accounting period End 12
Primary contact name DAVID MILLS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DAVID MILLS
PRESIDENT
31526 SOUTH WILL CENTER ROAD
PEOTONE IL 60468-9142

Officer/Director/Trustee Two

LESIA HEALY
TREASURER
14 HAWTHORNE AVENUE
PARK FOREST IL 60466-2402

Officer/Director/Trustee Three

STASIA KNOX
VICE PRESIDENT
1220 CATON AVENUE
JOLIET IL 60435-5808

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/15/2019
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name DAVID MILLS
Signature Title PRESIDENT
Signature Date 12/13/2019

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