FORM 1023-EZ for FIRM BASE

Field Data
EIN 83-1629834
Case Number EO-2019030-000567
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name FIRM BASE
Organization’s Mailing Address 2593 W BIRCH DR
City ROUND LAKE
State IL
ZIP 60073-5257
Accounting period End 12
Primary contact name TIMOTHY JOHNSON
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

TIMOTHY JOHNSON
DIRECTOR/PRESIDENT
2593 W BIRCH DR
ROUND LAKE IL 60073-5257

Officer/Director/Trustee Two

MICHAEL BENZINGER
VICE PRESIDENT/SECRETARY
419 BARRON BLVD
GRAYSLAKE IL 60030-1639

Officer/Director/Trustee Three

JASON WEBER
TREASURER
5405 COBBLERS CROSSING
MCHENRY IL 60050-2733

Organization’s website WWW.FIRMBASE.ORG
Organization’s email FIRMBASE2018@GMAIL.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 8/17/18
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code L81 - Home Improvement and Repairs
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 Yes
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 TIMOTHY JOHNSON
Signature Title DIRECTOR/PRESIDENT
Signature Date 12/26/18

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