FORM 1023-EZ for PEORIA PROWLERS ROLLER DERBY
| Field | Data |
|---|---|
| EIN | 81-2406611 |
| Case Number | EO-2019169-000626 |
| Form 1023-EZ version | 12018 |
| Eligibility Worksheet | 1 |
| Organization Name | PEORIA PROWLERS ROLLER DERBY |
| Organization’s Mailing Address | 19328 WEST ROUTE 90 |
| City | LAURA |
| State | IL |
| ZIP | 61451 |
| Accounting period End | 12 |
| Primary contact name | REEMA ABI-AKAR |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
MELISSA WASHBURN
PRESIDENT
19328 IL 90
LAURA IL 61451
Officer/Director/Trustee Two
DIANNA BHEAR
INTERLEAGUE COORDINATOR
19328 WEST ROUTE 90
LAURA IL 61458
Officer/Director/Trustee Three
REEMA ABI-AKAR
TREASURER
825 WEST KENSINGTON DR
PEORIA IL 61614
Officer/Director/Trustee Four
KAYLEE TABOR
VICE PRESIDENT
1328 NORTH RHODORA
WEST PEORIA IL 61604
Officer/Director/Trustee Five
STEPHANIE OROAKE
SECRETARY
1715 NORTH CALIFORNIA AVE
PEORIA IL 61603
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 4/16/13 |
| 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: Yes 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 | Yes |
| One Third Support Gifts | No |
| Benefit of College | No |
| Private Foundation 508(e) | No |
| Seeking Retroactive Reinstatement | No |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | REEMA ABI-AKAR |
| Signature Title | TREASURER |
| Signature Date | 6/16/19 |
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