FORM 1023-EZ for LOGAN STEPHEN PALMER LEADERSHIP SUCCESS PROGRAM

Field Data
EIN 85-0817177
Case Number EO-2020118-000406
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name LOGAN STEPHEN PALMER LEADERSHIP SUCCESS PROGRAM
Organization’s Mailing Address 787 SPRUCE HILL DR
City DECATUR
State IL
ZIP 62521-4144
Accounting period End 12
Primary contact name TIMOTHY JOHN LEE
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMOTHY LEE
TREASURER
787 SPRUCE HILL DR
DECATUR IL 62521-4144

Officer/Director/Trustee Two

KALEB COLE
BOARD MEMBER
4720 W CANTRELL ST
DECATUR IL 62522-9613

Officer/Director/Trustee Three

THERESA PALMER
BOARD MEMBER
4720 W CANTRELL ST
DECATUR IL 62522-9613

Officer/Director/Trustee Four

SIDNEY PALMER
BOARD MEMBER
4720 W CANTRELL ST
DECATUR IL 62522-9613

Officer/Director/Trustee Five

JOHN MAY
BOARD MEMBER
1145 W MAIN ST
MT ZION IL 62549-1343

Organization’s website
Organization’s email
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 6/14/2019
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O54 - Youth Development - Citizenship Programs
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 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 TIMOTHY LEE
Signature Title TREASURER
Signature Date 4/24/2020

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