FORM 1023-EZ for THE PEORIA AREA TRACK FIELD CLUB

Field Data
EIN 27-0496654
Case Number EO-2016288-000195
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name THE PEORIA AREA TRACK FIELD CLUB
Organization’s Mailing Address PO BOX 10014
City PEORIA
State IL
ZIP 61612-0014
Accounting period End 6
Primary contact name TIFFANY J MACK
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIFFANY MACK
PRESIDENT
1425 W HANSSLER PL
PEORIA IL 61604-2562

Officer/Director/Trustee Two

ANTWON DUSSETT
TREASURER
906 W BUTTERFIELD DR
PEORIA IL 61614-2811

Officer/Director/Trustee Three

NICK KNAPP
VICE PRESIDENT
113 OAKRIDGE CT
EAST PEORIA IL 61611-5575

Officer/Director/Trustee Four

JENNY EVERY
SECRETARY
7420 W COUNTRY VIEW DR
PEORIA IL 61607-9345

Officer/Director/Trustee Five

JOE EVERY
DIRECTOR
7420 W COUNTRY VIEW DR
PEORIA IL 61607-9345

Organization’s website WWW.PATFC.ORG
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/7/2009
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code T50 - Philanthropy, Charity, Voluntarism Promotion, General
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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