FORM 1023-EZ for WELLSPRING HOMESCHOOL COMMUNITY
| Field | Data |
|---|---|
| EIN | 81-4336495 |
| Case Number | EO-2021111-000426 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | WELLSPRING HOMESCHOOL COMMUNITY |
| Organization’s Mailing Address | 1704 SWEETBRIAR DR |
| City | BLOOMINGTON |
| State | IL |
| ZIP | 61701 |
| Accounting period End | 7 |
| Primary contact name | JANET BROKKEN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JANET BROKKEN
CO-DIRECTOR
1704 SWEETBRIAR DR
BLOOMINGTON IL 61701
Officer/Director/Trustee Two
CARRIE ZOZZARO
CO-DIRECTOR
1013 CROOKED STICK LN
NORMAL IL 61761
Officer/Director/Trustee Three
ALISA SLADEK
TREASURER
11 STRAWBERRY LANE
MACKINAW IL 61755
| Organization’s website | |
|---|---|
| Organization’s email | WELLSPRINGHSC@OUTLOOK.COM |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/21/2016 |
| Organization Incorporation State | IL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B99 - Education N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: Yes Educational: Yes 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 | 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 | No |
| One Third Support Gifts | Yes |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | JANET BROKKEN |
| Signature Title | CO-DIRECTOR |
| Signature Date | 4/20/2021 |
| EIN | 81-4336495 |
| Case Number | EO-2017107-000340 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | WELLSPRING COMMUNITY HOMESCHOOL COOPERATION |
| Organization’s Mailing Address | 1704 SWEETBRIAR DR |
| City | BLOOMINGTON |
| State | IL |
| ZIP | 61701 |
| Accounting period End | 7 |
| Primary contact name | JANET BROKKEN |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
JANET BROKKEN
PRESIDENT
1704 SWEETBRIAR DR
BLOOMINGTON IL 61701
Officer/Director/Trustee Two
SARA QUAH
VICE PRESIDENT
506 COVEY CT
NORMAL IL 61761
Officer/Director/Trustee Three
KATHY ALLISON
SECRETARY
1310 BALLYSHANNON DR
BLOOMINGTON IL 61704
Officer/Director/Trustee Four
CARRIE ZOZZARO
TREASURER
1013 CROOKED STICK LN
NORMAL IL 61761
Officer/Director/Trustee Five
TAMMY CALLICOT
DIRECTOR
1509 COURTLAND AVE
NORMAL IL 61761
| Organization’s website | HTTPS://WELLSPRINGHSC.WORDPRESS.COM/ |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 3/21/2016 |
| Organization Incorporation State | IL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | B99 - Education N.E.C. |
| Organization’s purpose | Charitable: Yes Religious: Yes Educational: Yes 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 | 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 | 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 | |
| Signature Title | |
| Signature Date |
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