FORM 1023-EZ for PEORIA COUNTY TRIAD

Field Data
EIN 84-3602249
Case Number EO-2020071-000259
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEORIA COUNTY TRIAD
Organization’s Mailing Address 1314 W PIONEER PKWY STE B
City PEORIA
State IL
ZIP 61615
Accounting period End 12
Primary contact name MICHAEL BEARCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MIKE BEARCE
PRESIDENT
607 W GREENWAY PL
PEORIA IL 61614

Officer/Director/Trustee Two

ALDINE ALLEN
TREASURER
3415 N SHERIDAN RD
PEORIA IL 61604

Officer/Director/Trustee Three

SHERRY ARROWSMITH
V PRESIDENT
117 N WESTERN AVE
PEORIA IL 61604

Organization’s website
Organization’s email TRIAD@PEORIACOUNTY.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/6/2019
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code M99 - Public Safety, Disaster Preparedness, and Relief N.E.C.
Organization’s purpose Charitable: No
Religious: No
Educational: Yes
Scientific: No
Literary: No
Public Safety: Yes
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 MIKE BEARCE
Signature Title PRESIDENT
Signature Date 3/9/2020

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