FORM 1023-EZ for SHELBY COUNTY JR RIFLE SHOOTING SPORTS CLUB LTD

Field Data
EIN 82-3013012
Case Number EO-2017284-000220
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name SHELBY COUNTY JR RIFLE SHOOTING SPORTS CLUB LTD
Organization’s Mailing Address 949 E 1300 NORTH RD
City TOWER HILL
State IL
ZIP 62571
Accounting period End 9
Primary contact name KELLY BARRINGER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KELLY BARRINGER
PRESIDENT
949 E 1300 NORTH RD
TOWER HILL IL 62571

Officer/Director/Trustee Two

TONY LAPE
VICE PRESIDENT
2244 E 1200 NORTH RD
SHELBYVILLE IL 62565

Officer/Director/Trustee Three

TRACEY WARREN
TREASURER
224 N 2050 EAST RD
MODE IL 62444

Officer/Director/Trustee Four

LYNNE HINTON
SECRETARY
1538 E 950 NORTH RD
LAKEWOOD IL 61273

Officer/Director/Trustee Five

PHIL SCHOREY
MEMBER
524 N DOUGLAS
SHELBYVILLE IL 62565

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/4/2017
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
Organization’s purpose Charitable: Yes
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 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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