FORM 1023-EZ for SULLIVAN BLUE DOLPHINS

Field Data
EIN 37-1321680
Case Number EO-2021154-000172
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name SULLIVAN BLUE DOLPHINS
Organization’s Mailing Address PO BOX 503
City SULLIVAN
State IL
ZIP 61951
Accounting period End 8
Primary contact name JENNIFER ERIXON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

KIM DRURY
PRESIDENT
938 CR 900 N
SULLIVAN IL 61951

Officer/Director/Trustee Two

JENNIFER ERIXON
TREASURER
1304 REYNOLDS DR
CHARLESTON IL 61920

Officer/Director/Trustee Three

KENT SCHMOHE
VICE PRESIDENT
1433 CR 625E
BETHANY IL 61914

Officer/Director/Trustee Four

JAMIE CROSIER
SECRETARY
11 KASKASKIA DR
SULLIVAN IL 61951

Officer/Director/Trustee Five

MEGAN WESSELLMAN
SAFETY DIRECTIOR
310 N PIERCE ST
SULLIVAN IL 61951

Organization’s website SULLIVANBLUEDOLPHINS.COM
Organization’s email JENNIFERERIXON6@YAHOO.COM
Organization Incorporated No
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/1/1965
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N67 - Swimming, Water Recreation
Organization’s purpose Charitable: Yes
Religious: No
Educational: No
Scientific: No
Literary: No
Public Safety: No
Amateur Sports: Yes
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 Yes
Correctness Declaration Yes
Signature Name JENNIFER ERIXON
Signature Title TREASURER
Signature Date 6/1/2021

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