FORM 1023-EZ for QUANTUM FUSION FC

Field Data
EIN 81-2440635
Case Number EO-2016127-000186
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name QUANTUM FUSION FC
Organization’s Mailing Address 9911 LUCAS RD
City WOODSTOCK
State IL
ZIP 60098-7443
Accounting period End 12
Primary contact name GINNETTE LAWRENCE-BISHOP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

GINNETTE LAWRENCE-BISHOP
CEO
9911 LUCAS RD
WOODSTOCK IL 60098-7443

Officer/Director/Trustee Two

MICHAEL DICANIO
COO
1937 WILDWOOD CIRCLE
GLENDALE HEIGHTS IL 60139

Officer/Director/Trustee Three

TODD HAMMOND
CFO
843 HICKMAN LN
WOODSTOCK IL 60098

Officer/Director/Trustee Four

MELANIE ANDREWS
ARCHIVIST
358 MARENGO RD
HARVARD IL 60033

Organization’s website QUANTUMFUSIONFC.COM
Organization’s email QUANTUMFUSIONFC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/28/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
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
Signature Title
Signature Date

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