FORM 1023-EZ for PEOTONE ATHLETIC BOOSTER CLUB

Field Data
EIN 83-2782505
Case Number EO-2019123-000248
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name PEOTONE ATHLETIC BOOSTER CLUB
Organization’s Mailing Address 605 W NORTH ST
City PEOTONE
State IL
ZIP 60468
Accounting period End 12
Primary contact name JENNIFER B WOZNY HENDRICKER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORINDA LONARD
PRESIDENT
120 HICKORY
PEOTONE IL 60468

Officer/Director/Trustee Two

LORI MCGRATH
VICE PRESIDENT
25930 S CREEKSIDE DR
MONEE IL 60449

Officer/Director/Trustee Three

LAURA OBOYLE
TREASURER
25941 S CREEKSIDE DR
MONEE IL 60449

Officer/Director/Trustee Four

KATHLEEN DERKACY
SECRETARY
24309 S HARVEST HILLS RD
FRANKFORT IL 60423

Organization’s website
Organization’s email PEOTONEABC@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 12/3/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N12 - Fund Raising and/or Fund Distribution
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 KATHLEEN DERKACY
Signature Title SECRETARY
Signature Date 5/1/19

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