FORM 1023-EZ for SUCCESSFULLY ACHIEVING SKILLS FOR SPECIAL NEEDS INDIVIDUALS INC

Field Data
EIN 81-5293653
Case Number EO-2017122-000192
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SUCCESSFULLY ACHIEVING SKILLS FOR SPECIAL NEEDS INDIVIDUALS INC
Organization’s Mailing Address 10258 N 2400 E RD
City DOWNS
State IL
ZIP 61736
Accounting period End 12
Primary contact name HEATHER SPENCER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

HEATHER SPENCER
PRESIDENT
10258 N 2400 E RD
DOWNS IL 61736

Officer/Director/Trustee Two

TARA HAYNES
VP
3206 CLAIRBRIDGE DR
BLOOMINGTON IL 61704

Officer/Director/Trustee Three

GLENDA WALSH
SEC/TREAS
107 N CLEVELAND ST
DOWNS IL 61736

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/8/2017
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 No
Benefit of College No
Private Foundation 508(e) Yes
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name
Signature Title
Signature Date

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