FORM 1023-EZ for CARLINVILLE VOLLEYBALL BOOSTERS CLUB

Field Data
EIN 82-1522906
Case Number EO-2017137-000390
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CARLINVILLE VOLLEYBALL BOOSTERS CLUB
Organization’s Mailing Address 21677 CHARITY CHURCH ROAD
City CARLINVILLE
State IL
ZIP 62626
Accounting period End 9
Primary contact name LEANN BARR
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LORI EGELHOFF
PRESIDENT
19555 BONNEVILLE ROAD
CHESTERFIELD IL 62630

Officer/Director/Trustee Two

LEANN BARR
SEC.-TREAS.
21677 CHARITY CHURCH ROAD
CARLINVILLE IL 62626

Officer/Director/Trustee Three

KATHY RHODUS
DIRECTOR
600 EAST MAIN STREET
CARLINVILLE IL 62626

Officer/Director/Trustee Four

LORI ZACHARY
DIRECTOR
424 SOUTH PLUM STREET
CARLINVILLE IL 62626

Officer/Director/Trustee Five

JILL ALBERTINE
DIRECTOR
404 EAST 2ND SOUTH STREET
CARLINVILLE IL 62626

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/1/2003
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N11 - 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 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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