FORM 1023-EZ for SHAMROCK ACADEMY BOOSTER CLUB

Field Data
EIN 83-3839971
Case Number EO-2019074-000599
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SHAMROCK ACADEMY BOOSTER CLUB
Organization’s Mailing Address 317 DEERPATH
City TOLONO
State IL
ZIP 61880
Accounting period End 12
Primary contact name SUSAN BARLOW
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LAUREN SCROGGINS
PRESIDENT
317 DEERPATH
TOLONO IL 61880

Officer/Director/Trustee Two

SUSAN BARLOW
CO-CHAIR
883 COUNTY ROAD 2125N
CHAMPAIGN IL 61822

Officer/Director/Trustee Three

KAREN STARKS
TREASURER
202 S MEADOWHILL LANE
MAHOMET IL 61853

Officer/Director/Trustee Four

KIRSTEN POETZEL
SECRETARY
26004 APPLEWOOD RD
CHAMPAIGN IL 61822

Officer/Director/Trustee Five

JAMIE FREEMAN
DIRECTOR
1711 DEVONSHIRE DR
CHAMPAIGN IL 61821

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/5/19
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A99 - Arts, Culture, and Humanities N.E.C.
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 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 SUSAN BARLOW
Signature Title CO-CHAIR
Signature Date 3/13/19

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