FORM 1023-EZ for LAKE COUNTY SIDEWINDERS BASEBALL ASSOCIATION

Field Data
EIN 36-4817478
Case Number EO-2015303-000243
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name LAKE COUNTY SIDEWINDERS BASEBALL ASSOCIATION
Organization’s Mailing Address 175 OLDE HALF DAY ROAD STE 290
City LINCOLNWOOD
State IL
ZIP 60069
Accounting period End 12
Primary contact name WAYNE E SILVERMAN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

JOSE MILLAN
PRESIDENT
87 WILLOW DRIVE
WAUKEGAN IL 60087

Officer/Director/Trustee Two

AMADOR CASTRO
VICE PRESIDENT
2290 N TEDY LANE
ROUND LAKE BEACH IL 60073

Officer/Director/Trustee Three

DAVID YUKNIS
SECRETARY
561 BLAZING STAR DR
LAKE VILLA IL 60046

Officer/Director/Trustee Four

WAYNE SILVERMAN
TREASURER
175 OLDE HALF DAY RD
LINCOLNSHIRE IL 60069

Officer/Director/Trustee Five

JOHN VERTUND
VICE PRESIDENT
1119 BEVERLY DRIVE
LAKE VILLA IL 60046

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/19/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N63 - Baseball, Softball
Organization’s purpose Charitable: No
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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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