FORM 1023-EZ for DUPAGE COUNTY DERBY DAMES

Field Data
EIN 45-2926881
Case Number EO-2015027-000268
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DUPAGE COUNTY DERBY DAMES
Organization’s Mailing Address 2434 W WARNER AVE
City CHICAGO
State IL
ZIP 60618
Accounting period End 12
Primary contact name MEGAN ROSENBERG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

MEGAN ROSENBERG
PRESIDENT
2434 W WARNER AVE
CHICAGO IL 60618

Officer/Director/Trustee Two

CHARITY GREEN
VICE PRESIDENT
1857 NORTH SAWYER
CHICAGO IL 60647

Officer/Director/Trustee Three

ANTONIA RUSSIN
SECRETARY
555 BELLAIRE
DES PLAINES IL 60016

Officer/Director/Trustee Four

ANGELA HORRELL
TREASURER
555 MICHGAN AVE
SOUTH ELGIN IL 60177

Officer/Director/Trustee Five

LINDA MCREYNOLDS
DIRECTOR
2240 REBECCA CIRCLE
MONTGOMERY IL 60538

Organization’s website WWW.DUPAGEDERBYDAMES.COM
Organization’s email BOD@DUPAGEDERBYDAMES.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/3/2011
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N60 - Amateur Sports Clubs, Leagues, N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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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