FORM 1023-EZ for MELISSA BRASSARDSHOW ARENA INC

Field Data
EIN 82-1469381
Case Number EO-2018113-000590
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name MELISSA BRASSARDSHOW ARENA INC
Organization’s Mailing Address 2122 E 500 NORTH RD
City WELLINGTON
State IL
ZIP 60973
Accounting period End 12
Primary contact name JUSTIN SCHROEDER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CHUCK GOCKEN
PRESIDENT
1107 E 1100 NORTH RD
ONARGA IL 60926

Officer/Director/Trustee Two

JASON AHLDEN
VICE PRSIDENT
1467 E 2200 NORTH RD
ASHKUM IL 60911

Officer/Director/Trustee Three

DEBRA KRONES
SECRETARY
1134 E 2100 NORTH RD
DANFORTH IL 60930

Officer/Director/Trustee Four

JUSTIN SCHROEDER
TREASURER
2122 E 500 NORTH RD
WELLINGTON IL 60973

Officer/Director/Trustee Five

NITA DUBBLE
CORRESPONDENCE SECRETARY
1732 N 2400 EAST RD
WATSEKA IL 60970

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/9/17
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code K11 - Single Organization Support
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 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 JUSTIN SCHROEDER
Signature Title TREASURER
Signature Date 4/20/18

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