FORM 1023-EZ for HOLLIS PARENT CLUB

Field Data
EIN 82-2952074
Case Number EO-2018156-000060
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HOLLIS PARENT CLUB
Organization’s Mailing Address 5613 W TUSCARORA
City PEORIA
State IL
ZIP 61607
Accounting period End 6
Primary contact name CORI RUTHERFORD
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

CORI RUTHERFORD
PRESIDENT
5613 W TUSCARORA
PEORIA IL 61607

Officer/Director/Trustee Two

AMANDA TYREE
BOOSTER VICE PRESIDENT
5613 W TUSCARORA
PEORIA IL 61607

Officer/Director/Trustee Three

JENNIFER HATTERMANN
PTO VICE PRESIDENT
5613 W TUSCARORA
PEORIA IL 61607

Officer/Director/Trustee Four

BARBARA LESTER
PTO TREASURER
5613 W TUSCARORA
PEORIA IL 61607

Officer/Director/Trustee Five

BRANDI LEDBETTER
SECRETARY
5613 W TUSCARORA
PEORIA IL 61607

Organization’s website
Organization’s email PARENTSCLUB@HOLLIS328.NET
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/14/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B94 - Parent/Teacher Group
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 Yes
Benefit of College No
Private Foundation 508(e) No
Seeking Retroactive Reinstatement No
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name AMANDA TYREE
Signature Title BOOSTER VICE PRESIDENT
Signature Date 6/3/18

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