FORM 1023-EZ for SOUTHWEST ILLINOIS RETIRED ASSOCIATION

Field Data
EIN 83-0542430
Case Number EO-2018169-000738
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SOUTHWEST ILLINOIS RETIRED ASSOCIATION
Organization’s Mailing Address 16500 67TH COURT
City TINLEY PARK
State IL
ZIP 60477
Accounting period End 12
Primary contact name JANET LENCE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JANET LENCE
PRESIDENT
16500 67TH COURT
TINLEY PARK IL 60477

Officer/Director/Trustee Two

VLASTA MINARICH
VICE-PRESIDENT
15700 OLD ORCHARD
ORLAND PARK IL 60462

Officer/Director/Trustee Three

TERESA MIKRUT
SECRETARY
10708 NATCHEZ
WORTH IL 60482

Officer/Director/Trustee Four

GAIL SPYTEK
MEMBERSHIP CHAIR
8749 144TH STREET
ORLAND PARK IL 60462

Organization’s website
Organization’s email JLENCE16500@ATT.NET
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/1/85
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B03 - Professional Societies, Associations
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name JANET LENCE
Signature Title PRESIDENT
Signature Date 6/15/18

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