FORM 1023-EZ for NAPERVILLE SENIORS IN ACTION

Field Data
EIN 81-2276938
Case Number EO-2016260-000203
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name NAPERVILLE SENIORS IN ACTION
Organization’s Mailing Address 336 S BIRCHWOOD DR
City NAPERVILLE
State IL
ZIP 60540
Accounting period End 12
Primary contact name KAREN A COURNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMOTHY ELS
PRESIDENT AND DIRECTOR
864 SHANDREW DR
NAPERVILLE IL 60540

Officer/Director/Trustee Two

KAREN COURNEY
DIRECTOR
336 S BIRCHWOOD DR
NAPERVILLE IL 60540

Officer/Director/Trustee Three

BEVERLY FRIER
DIRECTOR
24W035 DONWOOD
NAPERVILLE IL 60565

Officer/Director/Trustee Four

JANE FRENCH
DIRECTOR
32 BLUEBIRD LANE
NAPERVILLE IL 60540

Officer/Director/Trustee Five

MICHAEL COOPER
DIRECTOR
1749 E BAILEY ROAD
NAPERVILLE IL 60565

Organization’s website WWW.RIDEASSISTNAPERVILLE.ORG
Organization’s email INFO@RIDEASSISTNAPERVILLE.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 4/13/2016
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P52 - Transportation, Free or Subsidized
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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