FORM 1023-EZ for UPPER ROOM STREET MINISTRIES

Field Data
EIN 82-1125912
Case Number EO-2017121-000361
Form 1023-EZ version 62014
Eligibility Worksheet 1
Organization Name UPPER ROOM STREET MINISTRIES
Organization’s Mailing Address 8074 N 600TH ST
City ROBINSON
State IL
ZIP 62454
Accounting period End 12
Primary contact name LON ESTEP
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

LON ESTEP
PRESIDENT
PO BOX 34
ROBINSON IL 62454

Officer/Director/Trustee Two

HALENA ESTEP
VICE PRESIDENT AND SECRETARY
PO BOX 34
ROBINSON IL 62454

Officer/Director/Trustee Three

DONALD WILLIAMSON
TREASURER
211 E MAIN ST
ROBINSON IL 62454

Officer/Director/Trustee Four

BETTY GRIFFITH
BOARD MEMBER
710 S CROSS ST
ROBINSON IL 62454

Officer/Director/Trustee Five

BRADY HALL
BOARD MEMBER
503 N LINCOLN ST
ROBINSON IL 62454

Organization’s website
Organization’s email UPPERROOMSTREETMINISTRIES@YAHOO.COM
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 3/30/2017
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code X20 - Christian
Organization’s purpose Charitable: Yes
Religious: Yes
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 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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