FORM 1023-EZ for SPEAK LIFE

Field Data
EIN 83-0535672
Case Number EO-2018152-000190
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SPEAK LIFE
Organization’s Mailing Address 2904 WAKE ISLAND DRIVE
City JOLIET
State IL
ZIP 60435
Accounting period End 12
Primary contact name BRADLEY S MCCANN ATTORNEY
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

MARK BLIDY
PRESIDENT
2904 WAKE ISLAND DRIVE
JOLIET IL 60435

Officer/Director/Trustee Two

JEAN BLIDY
SECRETARY
2904 WAKE ISLAND DRIVE
JOLIET IL 60435

Officer/Director/Trustee Three

TIM KRAULIDIS
DIRECTOR
2200 DUNMORE STREET
JOLIET IL 60431

Officer/Director/Trustee Four

JAMES HIVELY
DIRECTOR
15428 S JAMES STREET
PLAINFIELD IL 60544

Officer/Director/Trustee Five

JOHN SCHEERINGA
DIRECTOR
15952 HOMETOWN DRIVE
PLAINFIELD IL 60544

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/15/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code O50 - Youth Development Programs, Other
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 Yes
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 MARK BLIDY
Signature Title PRESIDENT
Signature Date 5/30/18

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