FORM 1023-EZ for CERTIFICATION INSTITUTE LTD

Field Data
EIN 81-5476403
Case Number EO-2017058-000742
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CERTIFICATION INSTITUTE LTD
Organization’s Mailing Address 1210 LUCILLE AVE
City TWIN LAKES
State WI
ZIP 53181
Accounting period End 6
Primary contact name ALLAN T YOUNG
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

WILLIAM DUNBAR
PRESIDENT/TREAS/DIRECTOR
7019 S SOLON RD
MCHENRY IL 60051-6428

Officer/Director/Trustee Two

DEIRDRE PITTMAN
VP/DIRECTOR
7019 S SOLON RD
MCHENRY IL 60051-6428

Officer/Director/Trustee Three

DOUGLAS PITTMAN
SEC/DIRECTOR
7019 S SOLON RD
MCHENRY IL 60051-6428

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 9/30/2016
Organization Incorporation State WI
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B60 - Adult, Continuing Education
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 Yes
Donation of funds No
Conducting Activities Outside of United States No
Financial transactions with officers Yes
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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