FORM 1023-EZ for PEORIA INTERNATIONAL CHOIR

Field Data
EIN 81-0752402
Case Number EO-2017221-000198
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name PEORIA INTERNATIONAL CHOIR
Organization’s Mailing Address 11318 N STONE CREEK DR
City DUNLAP
State IL
ZIP 61525
Accounting period End 12
Primary contact name LEAH XU
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MASK JOHNSON
MUSIC DIRECTOR
2403 W PINNACLE DR
DUNLAP IL 61525

Officer/Director/Trustee Two

KELLIE LESTER
VICE PRESIDENT
10129 N VOORHEES
EDWARDS IL 61528

Officer/Director/Trustee Three

QUENTIN ALPHONSO
PRESIDENT
10713 N ALEX DR
PEORIA IL 61615

Officer/Director/Trustee Four

LEAH XU
SECRETARY
11318 N STONE CREEK DR
DUNLAP IL 61525

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 11/18/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code A6B - Singing, Choral
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 Yes
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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