FORM 1023-EZ for HEROINSIDE ORG
| Field | Data |
|---|---|
| EIN | 46-4404302 |
| Case Number | EO-2017244-000069 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | HEROINSIDE ORG |
| Organization’s Mailing Address | 1 C DOORWAY |
| City | FAIRVIEW HEIGHTS |
| State | IL |
| ZIP | 62208 |
| Accounting period End | 12 |
| Primary contact name | SCOTT ROSE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $275.00 |
Officer/Director/Trustee One
NICK MENN
PRESIDENT
100 BRIARWOOD
FAIRVIEW HEIGHTS IL 62208
Officer/Director/Trustee Two
CORY ROSE
DIRECTOR
RT 50 BOX 4021
FAIRVIEW HEIGHTS IL 62208
Officer/Director/Trustee Three
JOSH FROWLEX
DIRECTOR
17 WINEL DR
CASEYVILLE IL 62232
Officer/Director/Trustee Four
DEBORAH BLAYLOCK
DIRECTOR
610 HOLLYWOOD HT RD
FAIRVIEW HEIGHTS IL 62208
Officer/Director/Trustee Five
SCOTT ROSE
DIRECTOR
RT 50 BOX 4021
FAIRVIEW HEIGHTS IL 62208
| Organization’s website | WWW.HEROINSIDE.ORG |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/31/2013 |
| Organization Incorporation State | IL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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 | Yes |
| 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 | Yes |
| Seeking Section 7 Reinstatement | No |
| Correctness Declaration | Yes |
| Signature Name | |
| Signature Title | |
| Signature Date | |
| EIN | 46-4404302 |
| Case Number | EO-2014262-000321 |
| Form 1023-EZ version | 62014 |
| Eligibility Worksheet | 1 |
| Organization Name | HEROINSIDE ORG |
| Organization’s Mailing Address | 1C DOOR WAY |
| City | FAIRVIEW HEIGHTS |
| State | IL |
| ZIP | 62208 |
| Accounting period End | 12 |
| Primary contact name | CORY ROSE |
| Primary contact phone | [Hidden] |
| Primary contact phone extension | [Hidden] |
| Primary contact fax | [Hidden] |
| User fee submitted | $400.00 |
Officer/Director/Trustee One
NICK MENN
PRESIDENT
100 BRIARWOOD
FAIRVEW HEIGHTS IL 62208
Officer/Director/Trustee Two
CORY ROSE
DIRECTOR
ROUTE 50 BOX 4021
FAIRVIEW HEIGHTS IL 62208
Officer/Director/Trustee Three
JOSH FRAWLEY FRAWLEY
DIRECTOR
17 WEINEL DRIVE
FAIRVIEW HEIGHTS IL 62208
Officer/Director/Trustee Four
DEBORAH BLAYLOCK
DIRECTOR
610 HOLLYWOOD HEIGHTS ROAD
CASEYVILLE IL 62232
Officer/Director/Trustee Five
SCOTT ROSE
DIRECTOR
ROUTE 50 BOX 4021
FAIRVIEW HEIGHTS IL 62208
| Organization’s website | |
|---|---|
| Organization’s email | |
| Organization Incorporated | Yes |
| Organization trust | No |
| Necessary Organizing Documents | Yes |
| Organization Incorporation Date | 12/31/2013 |
| Organization Incorporation State | IL |
| Contains Limitation | Yes |
| Does not expressly empower | Yes |
| Contains dissolution | Yes |
| National Taxonomy of Exempt Entities (NTEE) code | F20 - Alcohol, Drug and Substance Abuse, Dependency Prevention and Treatment |
| Organization’s purpose | Charitable: Yes Religious: No Educational: Yes 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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