FORM 1023-EZ for CROSSROADS TRANSITIONAL LIVING PROGRAM

Field Data
EIN 33-1123305
Case Number EO-2018053-000270
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name CROSSROADS TRANSITIONAL LIVING PROGRAM
Organization’s Mailing Address 2105 E RESERVOIR STREET
City SPRINGFIELD
State IL
ZIP 62702
Accounting period End 12
Primary contact name LISA M CRITES
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LISA CRITES
PROGRAM DIRECTOR
1504 E REYNOLDS
SPRINGFIELD IL 62702

Officer/Director/Trustee Two

JACQUELINE WHEELER
DIRECTOR
118 SPRINGCREEK DRIVE
SPRINGFIELD IL 62702

Officer/Director/Trustee Three

CASANDRA AUSTIN
DIRECTOR
1712 S PASFIELD
SPRINGFIELD IL 62704

Officer/Director/Trustee Four

JULIE LUNDBERG
DIRECTOR
821 STONEHILL DRIVE
SHERMAN IL 62684

Organization’s website CROSSROADSTLP.ORG
Organization’s email LCRITES@CROSSROADSTLP.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/12/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 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 LISA CRITES
Signature Title PROGRAM DIRECTOR
Signature Date 2/20/18

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