FORM 1023-EZ for UP2USQSI

Field Data
EIN 47-5334782
Case Number EO-2016102-000459
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UP2USQSI
Organization’s Mailing Address 1965 S FINCH CT
City LIBERTYVILLE
State IL
ZIP 60048-4609
Accounting period End 12
Primary contact name CINDY KICK-HARRIS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

BEVERLEY-ANN SLEEP
CO-CHAIR
1965 S FINCH CT
LIBERTYVILLE IL 60048-4609

Officer/Director/Trustee Two

JOHN FLYNN
CO-CHAIR
18462 W MEANDER DR
GRAYSLAKE IL 60030

Officer/Director/Trustee Three

SUSAN LONG
SECRETARY
LAKE FOREST COLLEGE 555 N SHERIDAN
LAKE FOREST IL 60045

Officer/Director/Trustee Four

CINDY KICK-HARRIS
TREASURER
1509 FERNWOOD CT
GURNEE IL 60031

Organization’s website HTTP://WWW.UP2USQSI.ORG
Organization’s email INFO@UP2USQSI.ORG
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/14/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
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 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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