FORM 1023-EZ for CENTRAL ILLINOIS PARKINSONS SUPPORTGROUP

Field Data
EIN 83-2656727
Case Number EO-2019191-000195
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CENTRAL ILLINOIS PARKINSONS SUPPORTGROUP
Organization’s Mailing Address 1744 KINGSBURY RD
City WASHINGTON
State IL
ZIP 61571
Accounting period End 12
Primary contact name DAVID KING
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

ROGER HALLEEN
PRESIDENT
301 BAYLOR ST
EAST PEORIA IL 61611

Officer/Director/Trustee Two

BARBARA HALLEEN
VICE PRESIDENT
301 BAYLOR
EAST PEORIA IL 61571

Officer/Director/Trustee Three

DAVID KING
TREASURER
1744 KINGSBURY RD
WASHINGTON IL 61571

Officer/Director/Trustee Four

BARBARA KING
SECRETARY
1744 KINGSBURY RD
WASHINGTON IL 61571

Organization’s website
Organization’s email PEORIAPDGROUP@COMCAST.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code E01 - Alliance/Advocacy Organizations
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 DAVID KING
Signature Title TREASURER
Signature Date 7/6/19

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