FORM 1023-EZ for LAWRENCE COUNTY CEO INC

Field Data
EIN 81-2759115
Case Number EO-2016187-000493
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAWRENCE COUNTY CEO INC
Organization’s Mailing Address 815 12TH STREET PO BOX 737
City LAWRENCEVILLE
State IL
ZIP 62439
Accounting period End 5
Primary contact name SHANNON ROUTH
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEREK MCCULLOUGH
CHAIRMAN
815 12TH STREET 1
LAWRENCEVILLE IL 62439

Officer/Director/Trustee Two

RACHEL HIPSHER
VICE-CHAIRMAN
813 12TH STREET
LAWRENCEVILLE IL 62439

Officer/Director/Trustee Three

SHANNON ROUTH
TREASURER
802 OLD WHEATLAND ROAD
VINCENNES IN 47591

Officer/Director/Trustee Four

ROBERT TRACY
DIRECTOR
1308 JEFFERSON STREET
LAWRENCEVILLE IL 62439

Officer/Director/Trustee Five

KEVIN STRANGE
DIRECTOR
1609 LEXINGTON AVE
LAWRENCEVILLE IL 62439

Organization’s website WWW.CEOLAWRENCECOUNTY.COM
Organization’s email CEOLAWRENCECOUNTY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/26/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B90 - Educational Services and Schools - Other
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 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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