FORM 1023-EZ for SHERRARD ELEMENTARY SCHOOL CLUB

Field Data
EIN 81-1012571
Case Number EO-2016211-000188
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHERRARD ELEMENTARY SCHOOL CLUB
Organization’s Mailing Address 209 1ST STREET
City SHERRARD
State IL
ZIP 61281-8614
Accounting period End 12
Primary contact name LORI CHURCHILL
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

JENNIFER SZYMBORSKI
PRESIDENT
11919 KNOXVILLE ROAD
MILAN IL 61264

Officer/Director/Trustee Two

JULI HURLEY
VICE PRESIDENT
7415 120 AVE
COAL VALLEY IL 61240

Officer/Director/Trustee Three

TERESA PENDER
SECRETARY
1130 LAKEVIEW DR
SHERRARD IL 61281

Officer/Director/Trustee Four

STEPHANIE BENDER
TREASURER
2680 170 AVE
SHERRARD IL 61281

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/5/2013
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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
Signature Title
Signature Date

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