FORM 1023-EZ for CENTRAL ILLINOIS TENNIS ASSOCIATION

Field Data
EIN 47-3290299
Case Number EO-2016155-000267
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CENTRAL ILLINOIS TENNIS ASSOCIATION
Organization’s Mailing Address 2800 WADSWORTH DRIVE
City SPRINGFIELD
State IL
ZIP 62711
Accounting period End 12
Primary contact name R STEPHEN SCOTT
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

SONTHANA THONGSITHAVONG
PRESIDENT
2800 WADSWORTH DRIVE
SPRINGFIELD IL 62711

Officer/Director/Trustee Two

JOHN WEBB
VICE PRESIDENT
3533 GLENGATE DRIVE
SPRINGFIELD IL 62704

Officer/Director/Trustee Three

SAMUEL TRAYLOR
SECRETARY
1538 WEST GOVERNOR ST
SPRINGFIELD IL 62704

Officer/Director/Trustee Four

STEPHEN SCOTT
DIRECTOR
611 E MONROE STREET SUITE 200
SPRINGFIELD IL 62701

Officer/Director/Trustee Five

ARKEITHA MONROE
TREASURER
13 FRIARS LANE
SPRINGFIELD IL 62704

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 2/13/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N66 - Tennis, Racquet Sports Clubs, Leagues
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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