FORM 1023-EZ for CENTRAL ILLINOIS SENIOR CELEBRATION

Field Data
EIN 47-0970308
Case Number EO-2014349-000406
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name CENTRAL ILLINOIS SENIOR CELEBRATION
Organization’s Mailing Address 3100 MONTVALE DRIVE
City SPRINGFIELD
State IL
ZIP 62704
Accounting period End 9
Primary contact name JOHN KAUERAUF
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $400.00
Officer/Director/Trustee One

DEBBIE DEOPERE
PRESIDENT
3100 MONTVALE DRIVE
SPRINGFIELD IL 62704

Officer/Director/Trustee Two

KAREN SCHAINKER
TREASURER
701 NORTH MASON STREET
SPRINGFIELD IL 62702

Officer/Director/Trustee Three

CATHY HOUGHTBY
SECRETARY
1 NATURAL RESOURCES WAY SUITE 100
SPRINGFIELD IL 62702

Officer/Director/Trustee Four

MARK SHAFFER
VICE-PRESIDENT
300 SOUTH SECOND STREET
SPRINGFIELD IL 62701

Officer/Director/Trustee Five

GLENDA JOHNSON
DIRECTOR
700 SOUTH AIRPORT DRIVE
SPRINGFIELD IL 62707

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 5/29/2014
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code P80 - Services to Promote the Independence of Specific Populations
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 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
Signature Title
Signature Date

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