FORM 1023-EZ for HERSEY DEAF ALUMNI ASSOCIATION

Field Data
EIN 47-4152879
Case Number EO-2018257-000375
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name HERSEY DEAF ALUMNI ASSOCIATION
Organization’s Mailing Address 358 MEADOW GREEN DRIVE
City NAPERVILLE
State IL
ZIP 60565
Accounting period End 12
Primary contact name LORI KRAKORA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORI KRAKORA
PRESIDENT AND DIRECTOR
358 MEADOW GREEN DRIVE
NAPERVILLE IL 60565

Officer/Director/Trustee Two

ANGIE KUBIAK
DIRECTOR
1424 S BIRCH STREET
MT PROSPECT OH 60056

Officer/Director/Trustee Three

TK HILL
DIRECTOR
5665 HIBERNIA DRIVE APT B
COLUMBUS OH 43232

Officer/Director/Trustee Four

LAURA NUCCIO
DIRECTOR
51950 HAZEL ROAD
GRANGER IN 46530

Officer/Director/Trustee Five

TERRY JO VALENTI
DIRECTOR
317 TERRY LANE
BLOOMINGDALE IL 60108

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/27/15
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B84 - Alumni Associations
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 Yes
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 Yes
Seeking Section 7 Reinstatement No
Correctness Declaration Yes
Signature Name TK HILL
Signature Title DIRECTOR
Signature Date 9/12/18
EIN 47-4152879
Case Number EO-2015159-000531
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name HERSEY DEAF ALUMNI ASSOCIATION
Organization’s Mailing Address 358 MEADOW GREEN DRIVE
City NAPERVILLE
State IL
ZIP 60565
Accounting period End 12
Primary contact name LORI KRAKORA
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

LORI KRAKORA
PRESIDENT AND DIRECTOR
358 MEADOW GREEN DRIVE
NAPERVILLE IL 60565

Officer/Director/Trustee Two

ANGIE KUBIAK
DIRECTOR
1424 S BIRCH DRIVE
MT PROSPECT IL 60056

Officer/Director/Trustee Three

TK HILL
DIRECTOR
5608 LAVENDER COURT
ROLLING MEADOWS IL 60008

Officer/Director/Trustee Four

TERRY JO VALENTI
DIRECTOR
317 TERRY LANE
BLOOMINGDALE IL 60108

Officer/Director/Trustee Five

LAURA NUCCIO
DIRECTOR
3486 KENWOOD AVE
GURNEE IL 60031

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/27/2015
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B84 - Alumni Associations
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 Yes
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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