FORM 1023-EZ for TLC FOSTERS NP

Field Data
EIN 47-4493784
Case Number EO-2015197-000225
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name TLC FOSTERS NP
Organization’s Mailing Address 27 WILSHIRE WOOD DRIVE
City MACKINAW
State IL
ZIP 61755-8983
Accounting period End 12
Primary contact name CRYSTAL COAN OR TIMOTHY COAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CRYSTAL COAN
PRESIDENT
27 WILSHIRE WOOD DRIVE
MACKINAW IL 61755-8983

Officer/Director/Trustee Two

TIMOTHY COAN
VIICE PRESIDENT
27 WILSHIRE WOOD DRIVE
MACKINAW IL 61755-8983

Officer/Director/Trustee Three

STACIE DUBOIS
MEDICAL DIRECTOR
13872 STATE RT 29
PEKIN IL 61554-8092

Officer/Director/Trustee Four

SHANNON SEISS
DIRECTOR OF OPERATIONS
1214 N 2ND STREET
PEKIN IL 61544-2004

Officer/Director/Trustee Five

LUKA CURRY
FINANCE DIRECTOR
3911 N KEENLAND AVE
PEORIA IL 61614

Organization’s website
Organization’s email TLCCRAZYCATLADY@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/3/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code D20 - Animal Protection and Welfare
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 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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