FORM 1023-EZ for CENTRAL ILLINOIS PREP HOCKEY LEAGUE

Field Data
EIN 83-0526427
Case Number EO-2018136-000524
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CENTRAL ILLINOIS PREP HOCKEY LEAGUE
Organization’s Mailing Address 513 S FRENCH DR
City DUNLAP
State IL
ZIP 61525-9702
Accounting period End 8
Primary contact name WILLIAM JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANN RAWLS
PRESIDENT
14102 N CLINE RD
DUNLAP IL 61525

Officer/Director/Trustee Two

WILLIAM JOHNSON
TREASURER
513 S FRENCH DR
DUNLAP IL 61525-9702

Officer/Director/Trustee Three

BARBRA NUNGESTER
SECRETARY
108 BRIAR LN
WASHINGTON IL 61571

Officer/Director/Trustee Four

LARRY CLARK
REFEREE IN CHIEF
1102 CHESTNUT ST
PEKIN IL 61554

Officer/Director/Trustee Five

CONNY ORT
TEAM REPRESENTATIVE
6100 N DEVONSHIRE DR
PEORIA IL 61615

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/18/04
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N68 - Winter Sports (Snow and Ice)
Organization’s purpose Charitable: No
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 WILLIAM JOHNSON
Signature Title TREASURER
Signature Date 5/14/18

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