zeroed-out fy08/09 annual report submitted by save-a-life foundation to the il attorney general

8/8/2019 zeroed-out FY08/09 annual report submitted by Save-A-Life Foundation to the IL Attorney General

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SALFS;ne A Lire Foundation

Cnrol j.Spiz/JrriRECEIVED

Founder /Presicicm Attorney General's Office

r^ \ JUN 1 0 ?0I0

\CharltableTrustMonday, March 29, 2010

Charitable Trust BureauIllinois Attorney General Lisa MadiganAnnual Report Section 100 W Randolph St FL11Chicago, IL 60601-3175

Dear Sire/madam,

Regarding: Illinois Corporate Non-Profit Dissolution of Save A Life Foundation -Registration # CO#01026498

Please be advised that Save A Life Foundation disolved it's Illinois corporate non-for-profitstatus June 29, 2009, dissolution by the Illinois Secretary of State, filed #5717-789-6(enclosed). There were no remaining balances, income, expenditures nor outstandingcontribution or wages owed or due (enclosed).

Thank you in advance for your consideration.

Sincerely,

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I

Carol J. Spizzirri Pres/Fndr (fmr)
http://charltable/http://charltable/http://nfional/http://nfional/http://nfional/http://charltable/


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ILLINOIS CHARITABLE ORGANIZATION ANNUAL REPORTAttorney General LISA MADIGAN State of Illinois

Charitable Trust Bureau, 100 West Randolph

11th Floor, Chicago, Illinois 60601 CO #

FormAG99(WtRevised 3/05

eral ID if

Report for the Fiscal Period:

Beginning 6J L ifcpr

& Ending 6 l?u J>t9MO "OAV YR

Pi.

Chock all Itemsattached; Copy erf IRS Return Audited Financial Statements

2*mD Copy ofForm IFC

SU>- $15.00 Annual Report Filing Fee

contributions to the organization tax deductible? D Ya$ D NO

$100.00 Late Report Fifing Fee

MO DAY VR

Date Organization was created; _.. / _/ /

LEGAL

NAME

MAIL

DRESSSTATE

CODE

SAVE A LIFE FOUNDATION ^ f e p p C I X / p n

Attorney General's Off

17479 V) Dartmqpr Dr

Grayslake, IL 60030

JUN 1 0 2010

Charitable TrustSUMMARY OF ALL REVENUE ITEMS DURING THgYEAR

D) PUBLIC SUPPORT. CONTRIBUTIONS * PROGRAM SERVICE REV. (GROS S AMTS. )!

) GOVERNMENT GRANTS & MEMBERSHIP-HUES

F) OTHER REVENUES

G) TOTAL REVENUE, INCOME AND CONTRIBUTIONS RECEIVED (ADD D,E, & F)

SUMMARY OF ALL EXPENDITURES DURING THE YEAR:

H) OPERATING CHARITABLE PROGRAM EXPENSE

) EDUCATION PROGRAM SERVICE EXPENSE

J) TOTAL CHARITA8LE PROGRAM SERVICE EXPENSE (ADD H & t)

I) JOINT COSTS ALLOCATED TO PROGRAM SERVICES (INCLUDED IN J):

'.QFESpfqNAl PUNDRAI5ING CONSULTANTS;TOTAL AMOUNT PAID TO PROFESSIONAL FUNDRAISlNG CONSULTANTS

bMPENSATION TO THE (3) HIGHEST PAID PERSONS DURING THE YEAR:

1 NAME,. TITLE: _ _ _

NAME, TITLE:

NAME, TITLE:

ARlTABLE PROGRAM DESCRIPTION-
http://0dress/http://0dress/


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ANSWER TO ANY OF THE F O U O w 5 i F S ^

WAS THE ORGANIZATION THE SUBJECT OF ANY COURTACTION. FINE. PENALTY OR JUDGMENT?

HAS THE ORGANIZATION OR A CURRENT DIRECTOR, TRUSTEE, OFFICER OR EMPLOYEE THEREOFEVER BEEN CONVICTED BY ANY COURT OF ANY MIDSDEMEANOR INVOLVING THE MISUSE OR 'MISAPPROPRIATION OF FUNDS OR ANY FELONY?

OIO THE ORGANIZATION MAKE A GRANT AWARD OR CONTRIBUTION TO ANY ORGANIZATION IN WHICH

ANY OF ITS OFFICERS. DIRECTORSOR TRUSTEES OWNS AN INTEREST: OR WAS ITA PARTY TO ANY TRANSACTION

IN WHICH ANY OF ITS OFFICERS. DIRECTORS OR TRUSTEES HAS A MATERIAL FINANCIAL INTEREST" OR 010

ANY OFFICER, DIRECTOR OR TRUSTEE RECEIVE ANYTHING OF VALUE NOT REPORTED AS COMPENSATION?

HAS THE ORGANIZATION INVESTED IN ANY CORPORATE STOCK IN WHICH ANY OFFICER, DIRECTOR ORTRUSTEE OWNS MORE THAN 10% OF THE OUTSTANDING SHARES?

IS ANY PROPERTY OF THE ORGANIZATION HELD IN THE NAME OF OR COMMINGLED WITH THE

PROPERTY OF ANY OTHER PERSON"OR ORGANIZATION?

DID THE ORGANIZATION USE THE SERVICES OF A PROFESSIONAL FUNDRAISER?(ATTACH FORM IFC)

DID THE ORGANIZATION ALLOCATE THE COST OF ANY SOLICITATION, MAILING, ADVERTISEMENT OR

LITERATURE COSTS BETWEEN PROGRAM SERVICE AND FUNDRAISING EXPENSES?

| ves JNO]

1- I

3.

4.

5.

6.

7.

I u

.;{) THE AMOUNTIF "YES", ENTER (i) THE AGGREGATE AMOUNT OF THESE JOINT COSTS$

ALLOCATED TO PROGRAM SERVICES $ ; (III) THE AMOUNT ALLOCATED TO MANAGEMENTAND GENERAL $ ; AND (iv) THE AMOUNT ALLOCATED TO FUNDRAISING $

DID THE ORGANIZATION EXPEND ITS RESTRICTED FUNDS FOR PURPOSES OTHERTHAN RESTRICTED

PURPOSES? 8.

HAS THE ORGANIZATION EVER BEEN REFUSED REGISTRATION OR HAD ITS REGISTRATION OR TAX EXEMPTION

SUSPENDED OR REVOKED BY ANY GOVERNMENTAL AGENCY? fi,

WAS THERE OR DO YOU HAVE ANY KNOWLEDGE OF ANY KICKBACK, BRIBE, OR ANY THEFT. DEFALCATIONMISAPPROPRIATION, COMMINGLING OR MISUSE OF ORGANIZATIONAL FUNDS? 10.

LIST THE NAME AND ADORESS OF THE FINANCIAL INSTITUTIONS WHERE THE ORGANIZATION MAINTAINS ITS

THREE LARGEST ACCOUNTS:

MAME AND TELEPHONE NUMBER OF CONTACT PERSON:

ATTACHMENTS MUST ACCOMPANY THIS REPORT SEE INSTRUCTIONS

PENALLY OF PERJURY. I (WE) THE UNDERSIGNED DECLARE AND CERTIFY THATI (WE) HAVE EXAMINEO THIS ANNUAL REPORTE ATTACHED DOCUMENTS. INCLUDING ALL THE SCHEOULES AND STATEMENTS AND THE FACTS THEREIN STATED AREMD COMPLETE AND FILED WITH THE ILLINOIS ATTORNEY GENERAL FOR THE PURPOSE OF HAVING THE PEOPLE OF THEF ILUNQI&BEIY. THEREUPON.,I HEREBY FURTHER AUTHORIZE AND AGREE TO SUBMIT MYSELF AND THE REGISTRANT

WATE OF ILLINOIS.TO TH*

IflwauOX 20555

T f r l f f i l W All FEES PUS;TSAflE DUE WITHIN SIX*:N S CMYOUR FISCALY^AH^NO.BSVJUE SEE INSTRUCTIONS.

TSTHATARElATeOR -T

CAROL SPIZZIRRI

r*n*ttaTR

ESIDENT or TRUSTEE (PRINT NAME)of

EASURFR nr TcToi iCTce . . . . ..


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NFP 112.20 (revised Dec. 2003)\rticlesof Dissolution

Jeneral Not For Profit Corporation Act

esseWhiteJecretary of State P 8 L . E D

tepartntent of Business Services

asms"" $Ep i ? 20mw.cybefdrtveilllnols.com JESSE WHITE

emtt payment in the formf a money order or check

nade payable to Secretary of State.

SECRETARY OF STATE

File*. ^ *?/ 7 - 7*7- 6? Filing Fee: $5 A p p r o v e * 3

Submit in duplicate , -... Type or print clearly in black .ink-...gr-r- OoJiot j^tlt^aboye thi$ fine

. The name of the corporation isSAVS

*

LIFE

FOUNDATION INC.

The post office address to which may be mailed a copy of any process against the corporation that may beserved on the Secretary of State is c, KARAS, 1109N. Maufair nd. #100, Milwaukee, wi. 53226

The dissolution of the corporation wasduly authorized on August 31 f 2009

in the manner indicated below: ("X" one box only)Monlh

'av

'Ycar

} By a majority of the board of the directors, in accordance with Section 112.05.

By written consent signed by all directors entitled to vote on dissolution, in accordance with Section

108.45 of this Act '>

%' By written consent signed by all members entitled to vote on'dissolution, in accordance with Section

112.10, board of director action not being required:

O By the members in accordance with Section 112.15, resolution having been duly adopted and submittedto the members. At a meeting of members, not less than the minimum number of votes required by

statute and by the Articles of Incorporation were voted in favor of the dissolution;

O By the members, in accordance with Sections 112.10 and 107.10, a resolution having been duly adopted

and submitted to the members. A consent in writing has been signed by members having not less than

the minimum number of votes required by statute and by the Articles of Incorporation. Members who

hove not-consented in wrftinghove-been given notice in accordance with Section 1071pi

a) The undersigned corporation has caused these articles to be signed bya duly authorized officer* who affirms,undej; penalties of perjury, that the facts stated herein are true. (All signatures must be in BLACK INK.)

SAVEA LIFE FOUNDATION INC.t ed rx W i f r i ^ l / ^OP f LV

^"^ tony Authorized Officer's Signature (

CAROLE SP2X&m,fflrift&ent

Type or print name and title

there are nov officers and the dissolution isauthorized by the board of directors, a majority of the directorsmust SIGN BELOW, and type or print their names.

b) The undersigned affirms, under penalties of perjury that the facts stated herein are true.

tetK ShiflJ/, 2*t?I 0 f \ t\ fK>t Month/flay^h/i)ay,Ycar/

C 159.12 - 5M -March 2004
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zeroed-out fy08/09 annual report submitted by save-a-life foundation to the il attorney general

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