FORM 1023-EZ for PEORIA HEIGHTS ARTS COLLABORATIVE

Field Data
EIN 84-2102021
Case Number EO-2019205-000302
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEORIA HEIGHTS ARTS COLLABORATIVE
Organization’s Mailing Address 4541 N PROSPECT ROAD SUITE 300B
City PEORIA HEIGHTS
State IL
ZIP 61616
Accounting period End 12
Primary contact name JANE JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANE JOHNSON
PRESIDENT
513 N FULTON
LACON IL 61540

Officer/Director/Trustee Two

TONY LEES
TREASURER
3008 SYLVAN LANE
PEORIA IL 61615

Officer/Director/Trustee Three

THERESA MCDADE
SECRETARY
3828 N HARVARD
PEORIA IL 61614

Organization’s website NA
Organization’s email PEOIRAHEIGHTSARTS@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A20 - Arts, Cultural Organizations - Multipurpose
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JANE JOHNSON
Signature Title PRESIDENT
Signature Date 7/22/19

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