FORM 1023-EZ for CEESTEM

Field Data
EIN 27-2009876
Case Number EO-2014237-000086
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CEESTEM
Organization’s Mailing Address 2950 EAST STONE CREEK BOULEVARD
City URBANA
State IL
ZIP 61802
Accounting period End 12
Primary contact name DR PHOEBE E LENEAR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

PHOEBE LENEAR
PRESIDENT
2950 EAST STONE CREEK BOULEVARD
URBANA IL 61802

Officer/Director/Trustee Two

ED STANLEY
TREASURER
1016 WEST MAPLE STREET
CHAMPAIGN IL 61821

Officer/Director/Trustee Three

CARLTON BRUETT
DIRECTOR
1803 RIDGE PARK ROAD
URBANA IL 61802

Officer/Director/Trustee Four

OLLIE DAVIS
DIRECTOR
1007 LINCOLNSHIRE DRIVE
CHAMPAIGN IL 61821

Officer/Director/Trustee Five

PATRICIA MITCHELL
DIRECTOR
9808 SOUTH SANGAMON AVENUE
CHICAGO IL 60643

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/6/2014
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
Organization’s purpose Charitable: Yes
Religious: No
Educational: Yes
Scientific: Yes
Literary: No
Public Safety: No
Amateur Sports: No
Cruelty Prevention: No
Qualify For Exemption No
Legislation influence No
Compensation of Officer director trustee Yes
Donation of funds Yes
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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