FORM 1023-EZ for PEORIA UNITED NEIGHBORHOODSS BOXINGCLUB INC

Field Data
EIN 83-1786516
Case Number EO-2019036-000108
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEORIA UNITED NEIGHBORHOODSS BOXINGCLUB INC
Organization’s Mailing Address 805 EAST GIFT AVENUE
City PEORIA
State IL
ZIP 61603-1945
Accounting period End 9
Primary contact name JOSEPHINE SARGENT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

FRANCIS SARGENT
HEAD COACH
805 EAST GIFT AVENUE
PEORIA IL 61603

Officer/Director/Trustee Two

JOSEPHINE SARGENT
SECRETARY
805 EAST GIFT AVENUE
PEORIA IL 61603

Officer/Director/Trustee Three

LOUIS RIOS
BOARD MEMBER
444 MAPLE ROAD
LASALLE IL 61301

Officer/Director/Trustee Four

LARRY WILLIAMS
BOARD MEMBER
6017 NORTH TRENTON
PEORIA HEIGHTS IL 61616

Officer/Director/Trustee Five

GREGORY MCDONALD
TREASURER
415 WEST MELBOURNE AVENUE
PEORIA IL 61604

Organization’s website
Organization’s email SARGEN1973@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/5/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N70 - Amateur Sports Competitions
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 JOSEPHINE SARGENT
Signature Title SECRETARY
Signature Date 1/18/19

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