FORM 1023-EZ for FRIENDS OF COOK MEMORIAL PUBLIC LIBRARY DISTRICT

Field Data
EIN 84-3332488
Case Number EO-2019319-000067
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF COOK MEMORIAL PUBLIC LIBRARY DISTRICT
Organization’s Mailing Address 413 N MILWAUKEE AVE
City LIBERTYVILLE
State IL
ZIP 60048-2247
Accounting period End 9
Primary contact name DANIEL MAYS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JAMES JELKE
DIRECTOR, PRESIDENT
1049 TAMARACK LANE
LIBERTYVILLE IL 60048-3616

Officer/Director/Trustee Two

MARY ANN PHILLIPS
DIRECTOR, SECREARY
16340 WEST ARLINGTON DRIVE
LIBERTYVILLE IL 60048-1475

Officer/Director/Trustee Three

JEANINE CHYNA
DIRECTOR, TREASURER
1314 BRANDYWINE ROAD
LIBERTYVILLE IL 60048-3066

Organization’s website COOKLIB.ORG/SUPPORT-THE-LIBRARY/
Organization’s email FRIENDSOFCOOKLIBRARY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B70 - Libraries
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 JAMES JELKE
Signature Title DIRECTOR, PRESIDENT
Signature Date 11/13/19

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