FORM 1023-EZ for PEORIA AREA WATER WIZARDS

Field Data
EIN 47-2411539
Case Number EO-2015058-000166
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PEORIA AREA WATER WIZARDS
Organization’s Mailing Address 415 RICHMOND AVE
City PEORIA
State IL
ZIP 61604
Accounting period End 12
Primary contact name JULIE STREID
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KEVIN OBRIEN
PRESIDENT
6410 WILLOW OAK
EDWARDS IL 61528

Officer/Director/Trustee Two

JULIE STREID
TREASURER
914 W ST MARYS CT
PEORIA IL 61614

Officer/Director/Trustee Three

KATHY OBRIEN
DIRECTOR
6410 WILLOW OAK
EDWARDS IL 61528

Officer/Director/Trustee Four

MICHAEL ADAMS
DIRECTOR
4925 S LAKE CAMELOT
MAPLETON IL 61547

Officer/Director/Trustee Five

SHEVAUN FENNELL
DIRECTOR
468 E HIGH POINT ROAD
PEORIA IL 61614

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/15/2014
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N67 - Swimming, Water Recreation
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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