FORM 1023-EZ for NORTHWEST FIREFIGHTERS ASSOCIATION

Field Data
EIN 84-3284542
Case Number EO-2020069-000472
Form 1023-EZ version 12018
Eligibility Worksheet 1
Organization Name NORTHWEST FIREFIGHTERS ASSOCIATION
Organization’s Mailing Address 3222 NORTH CENTRAL AVENUE
City ROCKFORD
State IL
ZIP 61101-1756
Accounting period End 6
Primary contact name NICKOLAS JUPIN
Primary contact phone [Hidden]
Primary contact phone extension [Hidden]
Primary contact fax [Hidden]
User fee submitted $275.00
Officer/Director/Trustee One

SAM BELLONE
PRESIDENT
7406 ASHTON VILLA
ROCKFORD IL 61107-2719

Officer/Director/Trustee Two

NICKOLAS JUPIN
TREASURER
588 CARLS PLACE
MACHESNEY PARK IL 61115-7447

Officer/Director/Trustee Three

JOSEPH APPLEGATE
VICE PRESIDENT
4426 KELLEE DRIVE
LOVES PARK IL 61111-5342

Officer/Director/Trustee Four

KALEN TRUCKENMILLER
SECRETARY
3221 ELINORE AVENUE
ROCKFORD IL 61101-2615

Officer/Director/Trustee Five

DAVID HUTSON SR
TRUSTEE
2311 S 5TH STREET
ROCKFORD IL 61104-7111

Organization’s website
Organization’s email
Organization Incorporated Yes
Organization trust No
Necessary Organizing Documents Yes
Organization Incorporation Date 10/7/2019
Organization Incorporation State IL
Contains Limitation Yes
Does not expressly empower Yes
Contains dissolution Yes
National Taxonomy of Exempt Entities (NTEE) code W99 - Public, Society Benefit - Multipurpose and Other N.E.C.
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 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 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 KALEN TRUCKENMILLER
Signature Title SECRETARY
Signature Date 3/6/2020

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