FORM 1023-EZ for SPECIAL NEEDS ASSISTANCE PROGRAM

Field Data
EIN 27-0446080
Case Number EO-2016042-000132
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SPECIAL NEEDS ASSISTANCE PROGRAM
Organization’s Mailing Address 971 E MONROE STREET
City MORTON
State IL
ZIP 61550-2713
Accounting period End 6
Primary contact name KRISTINA LAZARZ
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

KRISTINA LAZARZ
PRESIDENT
971 E MONROE STREET
MORTON IL 61550-2713

Officer/Director/Trustee Two

SARA SOLORIO
SECRETARY
5510 N STEPHAN DRIVE
PEORIA IL 61615-7470

Officer/Director/Trustee Three

TRACY HEER
TREASURER
1270 WATERFORD
MORTON IL 61550-2713

Officer/Director/Trustee Four

SALLY MATHENY
VICE PRESIDENT
TIMBERLANE
MORTON IL 61550-2713

Officer/Director/Trustee Five

TREY SOLORIO
BOARD MEMBER
5510 N STEPHAN DRIVE
PEORIA IL 61615-7470

Organization’s website WWW.CISNAP.ORG
Organization’s email CISNAP@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/26/2009
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P20 - Human Service Organizations - Multipurpose
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 Yes
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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