FORM 1023-EZ for ILLUMIKNATION STATION GRASSROOTS EDUCATION INC

Field Data
EIN 47-3267471
Case Number EO-2016104-000042
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name ILLUMIKNATION STATION GRASSROOTS EDUCATION INC
Organization’s Mailing Address 669 CLOVER LN APT 1
City MEADVILLE
State PA
ZIP 16335
Accounting period End 12
Primary contact name CHRISTOPHER PETERS
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

CHRISTOPHER PETERS
PRESIDENT/DIRECTOR
669 CLOVER LN APT 1
MEADVILLE PA 16335

Officer/Director/Trustee Two

TIMOTHY CHAMBERS
VICE PRESIDENT/DIRECTOR
619 CANDLEWOOD DRIVE
GREENSBORO NC 27304

Officer/Director/Trustee Three

ANDREA SULLIVAN
TREASURER/DIRECTOR
765 RAYMOND AVE APT 201
SAINT PAUL MN 55114

Officer/Director/Trustee Four

JEREMY HOOPLE
SECRETARY/DIRECTOR
747 PARK AVE
MEADVILLE PA 16335

Organization’s website WWW.IKSDOME.COM
Organization’s email ILLUMIKNATIONSTATIONDOME@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 7/13/2015
Organization Incorporation State PA
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B99 - Education N.E.C.
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 Yes
One Third Support Gifts No
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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