FORM 1023-EZ for DUNLAP SPECIAL ATHLETES

Field Data
EIN 81-5219378
Case Number EO-2017046-000184
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name DUNLAP SPECIAL ATHLETES
Organization’s Mailing Address 5710 W NETTLE CREEK CT
City DUNLAP
State IL
ZIP 61525
Accounting period End 12
Primary contact name BETH MUELLER
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

DANIEL SMITH
PRESIDENT, DIRECTOR
3617 W BRENWICK DR
PEORIA IL 61614

Officer/Director/Trustee Two

PHIL WATT
VICE PRESIDENT
804 W SHERMOOR ST
PEORIA IL 61614

Officer/Director/Trustee Three

MIKE SCHOLLMEIER
SECRETARY
10620 N ALEX DR
PEORIA IL 61615

Officer/Director/Trustee Four

BETH MUELLER
TREASURER, DIRECTOR
5710 W NETTLE CREEK COURT
DUNLAP IL 61525

Officer/Director/Trustee Five

DALE MUELLER
DIRECTOR
5710 W NETTLE CREEK COURT
DUNLAP IL 61525

Organization’s website N/A
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 1/24/2017
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code N99 - Recreation, Sports, Leisure, Athletics N.E.C.
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 Yes
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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