FORM 1023-EZ for SHARED BLESSINGS

Field Data
EIN 82-0863144
Case Number EO-2017212-000174
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHARED BLESSINGS
Organization’s Mailing Address 206 W GREYSTONE COURT
City DUNLAP
State IL
ZIP 61525
Accounting period End 12
Primary contact name DARLENE VIOLET
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DARLENE VIOLET
DIRECTOR, PRESIDENT
206 W GREYSTONE CT
DUNLAP IL 61525

Officer/Director/Trustee Two

MEREDITH LAGOUROS
DIRECTOR, VICE PRESIDENT
6101 N EAGLE BEND CT
PEORIA IL 61614

Officer/Director/Trustee Three

BECKY LAGOUROS
DIRECTOR/SECRETARY/TREASURER
4809 GRANDVIEW DR
PEORIA HEIGHTS IL 61616

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/1/2017
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T12 - Fund Raising and/or Fund Distribution
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 No
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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