FORM 1023-EZ for DUSTY ROADS FOUNDATION

Field Data
EIN 47-2718975
Case Number EO-2015126-000196
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DUSTY ROADS FOUNDATION
Organization’s Mailing Address 711 LIVINGSTON ST
City STREATOR
State IL
ZIP 61364
Accounting period End 12
Primary contact name DEBRA HALLAM
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEBRA HALLAM
PRESIDENT
711 LIVINGSTON ST
STREATOR IL 61364

Officer/Director/Trustee Two

LARRY T EMM
VICE-PRESIDENT
1839 S JACOBS ST
STREATOR IL 61364

Officer/Director/Trustee Three

MARY BARNES
SECRETARY
810 E ELM ST
STREATOR IL 61364

Organization’s website
Organization’s email STREATORDUSTYROADS@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/1/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment
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 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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