FORM 1023-EZ for GRAYSLAKE HERITAGE CENTER FOUNDATION

Field Data
EIN 82-1721948
Case Number EO-2019053-000019
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name GRAYSLAKE HERITAGE CENTER FOUNDATION
Organization’s Mailing Address 164 HAWLEY STREET
City GRAYSLAKE
State IL
ZIP 60030-1515
Accounting period End 12
Primary contact name MARCIE MOLEK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARCIE MOLEK
PRESIDENT
400 KEVIN LANE
GRAYSLAKE IL 60030-1566

Officer/Director/Trustee Two

ROBERT CHURCHILL
VICE PRESIDENT
2 SOUTH WHITNEY STREET
GRAYSLAKE IL 60030-1548

Officer/Director/Trustee Three

KRISTIN PEARSON
SECRETARY
599 WATERFORD DRIVE
GRAYSLAKE IL 60030-3820

Officer/Director/Trustee Four

ELIZABETH DAVIES
TREASURER
799 ALLEGHANY
GRAYSLAKE IL 60030-2359

Officer/Director/Trustee Five

ADAM SHORES
BOARD MEMBER
680 BROOKSTONE ROAD
GRAYSLAKE IL 60030-1548

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/14/16
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A11 - 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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name MARCIE MOLEK
Signature Title PRESIDENT
Signature Date 2/20/19

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