FORM 1023-EZ for LIONS PARK SCHOOL PARENT-TEACHER ORGANIZATION

Field Data
EIN 47-3882414
Case Number EO-2015149-000420
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LIONS PARK SCHOOL PARENT-TEACHER ORGANIZATION
Organization’s Mailing Address 300 E COUNCIL TRAIL
City MOUNT PROSPECT
State IL
ZIP 60056-3930
Accounting period End 6
Primary contact name MARNIE KAPUSCINSKI
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BRIAN RISCH
PRESIDENT
509 S HI LUSI AVE
MOUNT PROSPECT IL 60056-3743

Officer/Director/Trustee Two

AMBER DOMKE
VICE PRESIDENT
806 E GOLFHURST AVE
MOUNT PROSPECT IL 60056-4319

Officer/Director/Trustee Three

MARNIE KAPUSCINSKI
TREASURER
913 W WHITEGATE DR
MOUNT PROSPECT IL 60056-3062

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/13/2015
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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