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I

Cnrol j.Spiz/Jrri RECEIVED

Founder / Presicicm Attorney General's Office
r ^ \ JUN 1 0 ?0I0

\Charltable Trust
Monday, March 29, 2010

Charitable Trust Bureau

Illinois Attorney General Lisa Madigan
Annual Report Section 100 W Randolph St FL11
Chicago, 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-profit
status June 29, 2009, dissolution by the Illinois Secretary of State, filed #5717-789-6
(enclosed). There were no remaining balances, income, expenditures nor outstanding
contribution or wages owed or due (enclosed).

Thank you in advance for your consideration.

Sincerely,

Carol J. Spizzirri Pres/Fndr (fmr)

 ILLINOIS CHARITABLE ORGANIZATION ANNUAL REPORT FormAG99(Wt
Attorney General LISA MADIGAN State of Illinois Revised 3/05
Charitable Trust Bureau, 100 West Randolph
11th Floor, Chicago, Illinois 60601 CO #
Chock all Items attached;
Report for the Fiscal Period: □ Copy erf IRS Return
□ Audited Financial Statements
Beginning 6 JL ifcpr 2*m£
Pi. D
Copy of Form IFC
SU>- » $15.00 Annual Report Filing Fee
& Ending 6 l?u J>t»9 $100.00 Late Report Fifing Fee
:deral ID if MO "OAV YR
MO DAY VR
9 contributions to the organization tax deductible? D Ya$ D NO Date Organization was created; _.. / _/ /
LEGAL SAVE A LIFE FOUNDATION ^ f e p p C I X / p n
NAME
MAIL Attorney General's Off
\0DRESS 17479 V) Dartmqpr Dr JUN 1 0 2010
Y, STATE
IIP CODE Grayslake, IL 60030
Charitable Trust
SUMMARY OF ALL REVENUE ITEMS DURING T H g Y E A R
D) PUBLIC SUPPORT. CONTRIBUTIONS * PROGRAM SERVICE REV. (GROSS 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

I) EDUCATION PROGRAM SERVICE EXPENSE

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

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

<) GRANTS TO OTHER CHARITABLE ORGANIZATIONS

.} TOTAL CHARITABLE PROGRAM SERVICE EXPENDITURE (AOD J & K)

A) MANAGEMENT AND GENERAL EXPENSE !

I) FUNDRAJSING EXPENSE I

I) TOTAL EXPENDITURES THIS PERIOD (ADD L, M, * N)

UMMARY OF ALL PAID FUNDRAISER AND CONSULTANT ACTIVITIES:
\ltt»ch Attorney General Report of Individual Fundraislng Campaign- Form IFC. One for each PFR.)j
3QPE5SIONAL FUNDRAISERS:
TOTAL AMOUNT RAISED BY PAID PROFESSIONAL FUNDRAISERS

• TOTAL FUNDRAISERS FEES AND EXPENSES

NET DECEIVED BY THE CHARITY (P MINUS Q*R>

'.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 P R O G R A M D E S C R I P T I O N -
 ANSWER TO ANY OF THE F O U O w 5 £ i F S ^
| ves JNO]
WAS THE ORGANIZATION THE SUBJECT OF ANY COURT ACTION. FINE. PENALTY OR JUDGMENT?
1- I
HAS THE ORGANIZATION OR A CURRENT DIRECTOR, TRUSTEE, OFFICER OR EMPLOYEE THEREOF
EVER 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. DIRECTORS OR TRUSTEES OWNS AN INTEREST: OR WAS IT A 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? 3.

HAS THE ORGANIZATION INVESTED IN ANY CORPORATE STOCK IN WHICH ANY OFFICER, DIRECTOR OR
TRUSTEE OWNS MORE THAN 10% OF THE OUTSTANDING SHARES? 4.

IS ANY PROPERTY OF THE ORGANIZATION HELD IN THE NAME OF OR COMMINGLED WITH THE
PROPERTY OF ANY OTHER PERSON"OR ORGANIZATION? 5.
I u
DID THE ORGANIZATION USE THE SERVICES OF A PROFESSIONAL FUNDRAISER?(ATTACH FORM IFC ) 6.

DID THE ORGANIZATION ALLOCATE THE COST OF ANY SOLICITATION, MAILING, ADVERTISEMENT OR
LITERATURE COSTS BETWEEN PROGRAM SERVICE AND FUNDRAISING EXPENSES? 7.

IF "YES", ENTER (i) THE AGGREGATE AMOUNT OF THESE JOINT COSTS $ .;{«) THE AMOUNT
ALLOCATED TO PROGRAM SERVICES $ ; (III) THE AMOUNT ALLOCATED TO MANAGEMENT
AND GENERAL $ ; AND (iv) THE AMOUNT ALLOCATED TO FUNDRAISING $

DID THE ORGANIZATION EXPEND ITS RESTRICTED FUNDS FOR PURPOSES OTHER THAN 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. DEFALCATION
MISAPPROPRIATION, 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 THAT I (WE) HAVE EXAMINEO THIS ANNUAL REPORT
E ATTACHED DOCUMENTS. INCLUDING ALL THE SCHEOULES AND STATEMENTS AND THE FACTS THEREIN STATED ARE
MD COMPLETE AND FILED WITH THE ILLINOIS ATTORNEY GENERAL FOR THE PURPOSE OF HAVING THE PEOPLE OF THE
)F ILUNQI&BEIY. THEREUPON.,I HEREBY FURTHER AUTHORIZE AND AGREE TO SUBMIT MYSELF AND THE REGISTRANT
TO TH* WATE OF ILLINOIS.
OX 2 § 0 5 5 5
Iflwau
CAROL SPIZZIRRI of
T f r l f f i l W All FEES PUS; ESIDENT or TRUSTEE (PRINT NAME)
ITSAflE DUE WITHIN SIX*£:N ••
IS CMYOUR FISCAL Y^AH^NO.
IBSVJUE SEE INSTRUCTIONS.
r
TSTHATARElATeOR -T *n*tta»TR EASURFR nr Toi
Tc iCTce — . . . . ..
 NFP 112.20 (revised Dec. 2003)

\rticles of Dissolution
Jeneral Not For Profit Corporation Act

esse White
Jecretary of State P 8 L . E D
tepartntent of Business Services
Ep 20
asms""
mw.cybefdrtveilllnols.com
■ $ i? °
JESSE WHITE
SECRETARY OF STATE
temtt payment in the form
rf a money order or check
nade payable to Secretary of State.

File*. ^ *?/ 7 - 7*7- 6? Filing Fee: $5 Approve*3^

Submit in duplicate , -——... Type or print clearly in black .ink-...—gr-r- OoJiot j^tlt^aboye thi$ fine
SAVS LIFE
1. The name of the corporation is * FOUNDATION INC.

I The post office address to which may be mailed a copy of any process against the corporation that may be
served on the Secretary of State is c, KARAS, 1109 N. Maufair nd. #100, Milwaukee, wi. 53226
I The dissolution of the corporation was duly authorized on August 31 f 2009
Monlh av Ycar
in the manner indicated below: ("X" one box only) ' '
£} 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 submitted
to 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 107»1pi
I a) The undersigned corporation has caused these articles to be signed by a duly authorized officer* who affirms,
undej; penalties of perjury, that the facts stated herein are true. (All signatures must be in BLACK INK.)
SAVE A LIFE FOUNDATION INC.
)atedrx Wifri^l/^OPf LV
CAROLE SP2X&m,fflrift&«ent
^"^ tony Authorized Officer's Signature ( Type or print name and title
v
If there are no officers and the dissolution is authorized by the board of directors, a majority of the directors
must SIGN BELOW, and type or print their names.
L b) The undersigned affirms, under penalties of perjury that the facts stated herein are true.
)atetK S h i f l J / , 2*t?
h/i)ay,Ycar/
I 0 f \ t\ fK>t Month/flay^

C 159.12 - 5M -March 2004