FORM 1023-EZ for CHAMPAIGN-URBANA IMMIGRATION FORUM

Field Data
EIN 46-2886031
Case Number EO-2015293-000082
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CHAMPAIGN-URBANA IMMIGRATION FORUM
Organization’s Mailing Address 1001 SOUTH WRIGHT STREET
City CHAMPAIGN
State IL
ZIP 61820-6225
Accounting period End 12
Primary contact name MIKE DOYLE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

THOMAS GARZA
PRESIDENT
1212 WEST PARK
CHAMPAIGN IL 61821

Officer/Director/Trustee Two

CLAIRE SZOKE
VICE PRESIDENT
1405 CENTENNIAL DRIVE
CHAMPAIGN IL 61821

Officer/Director/Trustee Three

MICHAEL DOYLE
TREASURER
303 WEST WASHINGTON
URBANA IL 61801

Officer/Director/Trustee Four

MEGAN FLOWERS
SECRETARY
1001 SOUTH WRIGHT
CHAMPAIGN IL 61820-6225

Officer/Director/Trustee Five

RICARDO DIAZ
BOARD MEMBER
1002 EAST MAIN
URBANA IL 61802

Organization’s website WWW.CUIMMIGRATIONFORUM.ORG
Organization’s email INFO@CUIMMIGRATIONFORUM.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/28/2013
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code S99 - Community Improvement, Capacity Building N.E.C.
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 Yes
Compensation of Officer director trustee No
Donation of funds Yes
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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