FORM 1023-EZ for ILLINOIS TRAFFIC SAFETY LEADERS OFILLINOIS

Field Data
EIN 47-4413988
Case Number EO-2016095-000476
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ILLINOIS TRAFFIC SAFETY LEADERS OFILLINOIS
Organization’s Mailing Address 75 COMMERCE DRIVE BOX 503
City GRAYSLAKE
State IL
ZIP 60030
Accounting period End 12
Primary contact name MICHAEL ROMPALA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MICHAEL ROMPALA
PRESIDENT
75 COMMERCE DRIVE BOX 503
GRAYSLAKE IL 60030

Officer/Director/Trustee Two

JUDI KEIPPEL
DIRECTOR
2743 N ALBANY
CHICAGO IL 60647

Officer/Director/Trustee Three

BECKY MARKWELL
DIRECTOR
1713 PHILLIPS PLACE
CHARLESTOWN IL 61920

Officer/Director/Trustee Four

KYM ZYLKE
DIRECTOR
1301 S GROVE
BARRINGTON IL 60010

Officer/Director/Trustee Five

RITA KRESLIN
DIRECTOR
870 E HIGGINS RD 131
SCHAUMBURG IL 60173

Organization’s website WWW.ITSL.US
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/25/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M99 - Public Safety, Disaster Preparedness, and Relief N.E.C.
Organization’s purpose Charitable: Yes
Religious: No
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 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
Signature Title
Signature Date

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