FORM 1023-EZ for QUINCY SERENITY CLUB

Field Data
EIN 37-1340567
Case Number EO-2014282-000425
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name QUINCY SERENITY CLUB
Organization’s Mailing Address 901 SOUTH 8TH STREET
City QUINCY
State IL
ZIP 62301
Accounting period End 12
Primary contact name LEZLIE SISTKO
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

TOM MOORE
PRESIDENT
305 SPRUCE
QUINCY IL 62301

Officer/Director/Trustee Two

JAMES BREWER
VICE PRESIDENT
305 SPRUCE
QUINCY IL 62301

Officer/Director/Trustee Three

LEZLIE SISTKO
TREASURER
507 DONEGAL DRIVE
QUINCY IL 62305

Officer/Director/Trustee Four

JEFF WALZ
SECRETARY
1470 HAMPSHIRE APT F
QUINCY IL 62301

Officer/Director/Trustee Five

RICK IRVINE
BOARD MEMBER
PO BOX 3351
QUINCY IL 62305

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/23/1993
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code F22 - Alcohol, Drug Abuse, Treatment Only
Organization’s purpose Charitable: Yes
Religious: Yes
Educational: Yes
Scientific: Yes
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 Yes
One Third Support Gifts No
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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