FORM 1023-EZ for FRIENDS OF PALATINE LACROSSE

Field Data
EIN 83-2707657
Case Number EO-2019037-000441
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FRIENDS OF PALATINE LACROSSE
Organization’s Mailing Address 19 E RUSSET WAY
City PALATINE
State IL
ZIP 60067
Accounting period End 12
Primary contact name KEN A KIESLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DEANA PADDOCK
PRESIDENT
141 N BOYNTON DR
PALATINE IL 60067

Officer/Director/Trustee Two

KATHLEEN RUSSCHENBERG
VICE PRESIDENT
463 E WARMICK
PALATINE IL 60067

Officer/Director/Trustee Three

KEN KIESLER
TREASURER
19 E RUSSET WAY
PALATINE IL 60067

Officer/Director/Trustee Four

CAROLINE KENNEDY-FOOTE
SECRETARY
628 N WILLIAMS
PALATINE IL 60067

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/30/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code B11 - Single Organization Support
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
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 KEN KIESLER
Signature Title TREASURER
Signature Date 1/1/19

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